Integrated Home Care LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dania Beach, FL
NPI 1720874019 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1720874019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- INTEGRATED HOME CARE 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
- Organization subpart
- No
Authorized official
- Name
- Herbert Goldwire, APRN
- Title
- Advanced Practice Registered Nurse
- Phone
- (954) 681-2881
Practitioners 1
-
Herbert Goldwire, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250709000391 | FL | Part B Supplier - Clinic/Group Practice | 7315451655 |
Receives reassigned benefits from 1 practitioner Practice locations: Dania Beach, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes | ||
| Family Nurse Practitioner |
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
- Integrated Care of Florida LLC
Other providers in Dania Beach, FL
- Jonathan M Hirsch
- Hydration Experience
- Jeannette Maria Icaza
- Infant and Pediatric Home Therapy, Inc.
- Insight Vision Inc
- Lijia James
- Jonelle Rivas Gibson Arnp PA
- Kaiser Dynamic Health
- Kidney Kare Outpatient Services
- Charles T Kleto
All providers in Dania Beach, FL · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.