Active NPI
Lauderdale Lakes Alzheimer Care Center
Doing business as City of Lauderdale Lakes
- Adult Day Care Clinic/Center
- Lauderdale Lakes, FL
National Provider Identifier
1649476870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LAUDERDALE LAKES ALZHEIMER CARE CENTER
- Doing business as
- City of Lauderdale Lakes
- Practice address
- 4320 NW 36TH St
Lauderdale Lakes, FL 33319-5506 - Phone
- (954) 535-2800
- Fax
- (954) 777-3249
- NPI assigned
- Jun 25, 2007
- Last updated
- Sep 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Treasa Brown
- Title
- Director
- Phone
- (954) 535-2801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary |
Addresses
Primary practice location
4320 NW 36TH St
Lauderdale Lakes, FL 33319-5506
Mailing address
4320 NW 36TH St
Lauderdale Lakes, FL 33319-5506
Phone (954) 535-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6807259-00 | Medicaid | FL |
Other names 1
- City of Lauderdale Lakes
National Provider Directory
National Provider DirectoryLocations
4320 NW 36th St
Lauderdale Lakes, FL 33319
Phone (954) 535-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222041600000",
"number": "1649476870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 NW 36TH ST",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195506",
"telephone_number": "954-535-2800",
"fax_number": "954-777-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 NW 36TH ST",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195506",
"telephone_number": "954-535-2800",
"fax_number": "954-777-3249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUDERDALE LAKES ALZHEIMER CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2008-09-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TREASA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "954-535-2801",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6807259-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Lauderdale Lakes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lauderdale Lakes, FL
- Kerri Tiffany Latchman, RBT B.S
- Latino Medical Center III, Inc
- Latino Medicasl Center 111 Inc
- Lauderdale Dentistry for Kids LLC
- Lauderdale Ismile
- Lauderdale Lakes Medical Center Inc
- Lauderdale Lakes Medical Center, Inc.
- Lauderdale Orthopaedic Surgeons LLP
- Laura J. Zalcberg M.D. PA
- Natachia Lawrence-Osouna, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.