NPIMap

Organization Active NPI

Mederi Caretenders VS of Broward, LLC

  • Home Health Agency
  • Delray Beach, FL
National Provider Identifier
1720289358
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDERI CARETENDERS VS OF BROWARD, LLC
Practice address
4723 W Atlantic Ave
Suite A13 & 14
Delray Beach, FL 33445-3895
Phone
(561) 381-1077
Fax
(561) 496-0357
NPI assigned
May 30, 2007
Organization subpart
Yes
Parent organization
MEDERI CARETENDERS VS OF BROWARD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mr. Patrick Todd Lyles
Title
Sr. V.P., Administration
Phone
(502) 891-1044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4723 W Atlantic Ave
Suite A13 & 14
Delray Beach, FL 33445-3895

Mailing address

9510 Ormsby Station Rd
Suite 300
Louisville, KY 40223-4081
Phone (502) 891-1000

Other names 1

  • Mederi Caretenders Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caretenders2 organizations share this tax ID, including this one
Part of
Mederi Caretenders VS of Broward LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1720289358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE",
            "address_2": "SUITE A13 & 14",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453895",
            "telephone_number": "561-381-1077",
            "fax_number": "561-496-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDERI CARETENDERS VS OF BROWARD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDERI CARETENDERS VS OF BROWARD, LLC",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "SR. V.P., ADMINISTRATION",
        "authorized_official_telephone_number": "502-891-1044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mederi Caretenders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.