Organization Active NPI

Grand Palm Services LLC

  • Home Health Agency
  • Plantation, FL
National Provider Identifier
1679012066
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211861 Issued in FL
Legal business name
GRAND PALM SERVICES LLC
Practice address
950 S Pine Island Rd Ste 150a
Plantation, FL 33324-3918
Phone
(954) 727-8167
Fax
(954) 727-8168
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Mr. Ronald Serrano Yuson
Title
Administrator
Phone
(954) 727-8167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211861 FL Primary

Addresses

Primary practice location

950 S Pine Island Rd Ste 150a
Plantation, FL 33324-3918

Mailing address

950 S Pine Island Rd Ste 150a
Plantation, FL 33324-3918
Phone (954) 727-8167

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1679012066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S PINE ISLAND RD STE 150A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243918",
            "telephone_number": "954-727-8167",
            "fax_number": "954-727-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S PINE ISLAND RD STE 150A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243918",
            "telephone_number": "954-727-8167",
            "fax_number": "954-727-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PALM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "YUSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SERRANO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-727-8167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.