Active NPI
Linda J Cavallo, LPN,LCHRM,GCM
- Case Manager/Care Coordinator
- Hollywood, FL
National Provider Identifier
1649614223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4000 Hollywood Blvd Ste 566
Hollywood, FL 33021-6751 - Phone
- (954) 347-6487
- NPI assigned
- Apr 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4000 Hollywood Blvd Ste 566
Hollywood, FL 33021-6751
Mailing address
5425 Madison St
Hollywood, FL 33021-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestyle Living LLC | Current | Accepting new patients | |
| Lifestyle Living LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1649614223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 MADISON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 HOLLYWOOD BLVD STE 566",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216751",
"telephone_number": "954-347-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALLO",
"first_name": "LINDA",
"middle_name": "J",
"credential": "LPN,LCHRM,GCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-25",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.