NPIMap

Organization Active NPI

LT Health and Wellness LLC

  • Home Health Agency
  • Lauderdale Lakes, FL
National Provider Identifier
1720694367
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LT HEALTH AND WELLNESS LLC
Practice address
3201 NW 45TH Ter
Lauderdale Lakes, FL 33319-5744
Phone
(786) 479-9977
NPI assigned
Sep 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Nicky Fuller, APRNNPI 1902468556
Title
Owner
Phone
(786) 479-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3201 NW 45TH Ter
Lauderdale Lakes, FL 33319-5744

Mailing address

3201 NW 45TH Ter
Lauderdale Lakes, FL 33319-5744
Phone (786) 479-9977

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1720694367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 NW 45TH TER",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195744",
            "telephone_number": "786-479-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 NW 45TH TER",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195744",
            "telephone_number": "786-479-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LT HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "NICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-479-9977",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.