Organization Active NPI

Integrated Home Care LLC

Doing business as Integrated Care of Florida LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Dania Beach, FL
National Provider Identifier
1720874019
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
INTEGRATED HOME CARE LLC
Doing business as
Integrated Care of Florida LLC
Practice address
112 NW 14TH Ave
Dania Beach, FL 33004-2614
Phone
(954) 681-2881
Fax
(954) 656-0194
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Herbert Goldwire, APRNNPI 1669772406
Title
Advanced Practice Registered Nurse
Phone
(954) 681-2881

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

112 NW 14TH Ave
Dania Beach, FL 33004-2614

Mailing address

11216 NW 7TH St
Coral Springs, FL 33071-7957
Phone (954) 681-2881

Other names 1

  • Integrated Care of Florida LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709000391 FL Part B Supplier - Clinic/Group Practice 7315451655 Receives reassigned benefits from 1 practitioner
Practice locations: Dania Beach, FL

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1720874019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 NW 7TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717957",
            "telephone_number": "954-681-2881",
            "fax_number": "954-656-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NW 14TH AVE",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330042614",
            "telephone_number": "954-681-2881",
            "fax_number": "954-656-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "GOLDWIRE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "ADVANCED PRACTICE REGISTERED NURSE",
        "authorized_official_telephone_number": "954-681-2881",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Care of Florida LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dania Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.