Organization Active NPI

McReginald Denis

  • In Home Supportive Care Agency
  • Plantation, FL
National Provider Identifier
1689145492
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jan 20, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
233866OtherFLAHCA

Other names 1

  • Elite Caregivers Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.