Active NPI
Primecare Advantage, LLC
- Professional Counselor
- Oakland Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- PRIMECARE ADVANTAGE, LLC
- Practice address
- 141 NW 35TH CT
Oakland Park, FL 33309-5209 - Phone
- (954) 200-4571
- NPI assigned
- Dec 30, 2011
- Last updated
- Dec 30, 2011
- 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
- Kimberly Hay
- Title
- Ceo
- Phone
- (954) 200-4571
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
141 NW 35TH CT
Oakland Park, FL 33309-5209
Mailing address
141 NW 35TH CT
Oakland Park, FL 33309-5209
Phone (954) 200-4571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002207000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Primecare Advantage LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Oakland Park, FL
- NPI 1164648069
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- School Counselor
- Oakland Park, FL
- NPI 1194093849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325203200000",
"number": "1679843155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 NW 35TH CT",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333095209",
"telephone_number": "954-200-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 NW 35TH CT",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333095209",
"telephone_number": "954-200-4571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMECARE ADVANTAGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-30",
"last_updated": "2011-12-30",
"status": "A",
"authorized_official_last_name": "HAY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-200-4571"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002207000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
- Prangnuan Durand D.O., P.a.
- Prestige Clinicians LLC
- Pride Pharmacy Inc
- Prime Medical Solutions LLC
- Primecare Advantage LLC
- Natalie Privett, EMT
- Irina Privorotskaya, M.D.
- Providence Community Medical Center LLC
- Providence Health Center LLC
- Provisions of the Hearts, Dba Foundations Op Group (Foundations Op Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.