Harborchase of Coral Springs, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9503 Issued in FL

Legal business name

HARBORCHASE OF CORAL SPRINGS, INC.

Practice address

2975 NW 99TH Way
Coral Springs, FL 33065-5084

Phone

(954) 255-5557

Fax

(954) 510-0334

NPI assigned

Jan 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Mitchell

Title

Treasurer

Phone

(772) 492-5002

Specialties & licenses 1

Addresses

Other names 1

• HarborChase of Coral Springs Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1669893905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HIGHWAY A1A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632310",
            "telephone_number": "772-492-5002",
            "fax_number": "772-492-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 NW 99TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655084",
            "telephone_number": "954-255-5557",
            "fax_number": "954-510-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORCHASE OF CORAL SPRINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "772-492-5002"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HarborChase of Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Han, A.P. L.A.C
• Ashley Hansen, ARNP PNP-BC
• Scott Michael Hansen, DC
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• Maria Soledad Harnisth, MD
• Ouri Atou Haro Diarra, ARNP
• Gabrielle Harriott
• Matthew Ryan Harris, LCSW

• Assisted Living Facility in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.