Organization Active NPI

Memorial Healthcare System

  • Peer Specialist
  • Hollywood, FL
National Provider Identifier
1710574108
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
MEMORIAL HEALTHCARE SYSTEM
Practice address
7031 Taft St
Hollywood, FL 33024-3864
Phone
(954) 662-6107
NPI assigned
Dec 31, 2020
Last updated
Dec 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Mrs. Brandaise Mozell-Harvey, CRPS
Title
Family Peer Specialist
Phone
(954) 662-6107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

7031 Taft St
Hollywood, FL 33024-3864

Mailing address

7031 Taft St
Hollywood, FL 33024-3864

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1710574108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243864",
            "telephone_number": "954-662-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "MOZELL-HARVEY",
        "authorized_official_first_name": "BRANDAISE",
        "authorized_official_title_or_position": "FAMILY PEER SPECIALIST",
        "authorized_official_telephone_number": "954-662-6107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRPS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.