Active NPI
McReginald Denis
- In Home Supportive Care Agency
- Plantation, FL
National Provider Identifier
1689145492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MCREGINALD DENIS
- Practice address
- 6741 W Sunrise Blvd Ste A32
Plantation, FL 33313-6067 - Phone
- (954) 908-3802
- Fax
- (561) 870-0115
- NPI assigned
- Dec 6, 2018
- 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
- Mr. McReginald H Denis
- Title
- Administrator
- Phone
- (954) 908-3802
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Care Home Facility | 311ZA0620X |
Addresses
Primary practice location
6741 W Sunrise Blvd Ste A32
Plantation, FL 33313-6067
Mailing address
500 NE Spanish River Blvd Ste 105C
Boca Raton, FL 33431-4559
Phone (561) 283-3869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233866 | Other | FL | AHCA |
Other names 1
- Elite Caregivers
National Provider Directory
National Provider DirectoryLocations
500 NE Spanish River Blvd
Ste 105C
Boca Raton, FL 33431
6741 W Sunrise Blvd
Ste A32
Plantation, FL 33313
Phone (954) 908-3802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611100800000",
"number": "1689145492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE SPANISH RIVER BLVD STE 105C",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314559",
"telephone_number": "561-283-3869",
"fax_number": "561-870-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6741 W SUNRISE BLVD STE A32",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333136067",
"telephone_number": "954-908-3802",
"fax_number": "561-870-0115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCREGINALD DENIS",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-06",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A",
"authorized_official_last_name": "DENIS",
"authorized_official_first_name": "MCREGINALD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-908-3802",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "233866",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Caregivers",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.