Harborchase of Tamarac, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9833 Issued in FL

Legal business name

HARBORCHASE OF TAMARAC, INC.

Doing business as

Harbor Memory Care of Tamarac

Practice address

6855 NW 70TH Ave
Tamarac, FL 33321-5326

Phone

(954) 722-0212

Fax

(952) 722-0357

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By the provider in NPPES

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

• Harbor Memory Care of Tamarac Doing business as

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": "1669893921",
    "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": "6855 NW 70TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215326",
            "telephone_number": "954-722-0212",
            "fax_number": "952-722-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORCHASE OF TAMARAC, 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": "AL9833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Memory Care of Tamarac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Tamarac, FL
• Providers in Tamarac, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.