Vandor Geriatric Homecare Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

6906149 Issued in FL

Legal business name

VANDOR GERIATRIC HOMECARE INC.

Doing business as

Lael Senior Daycare

Practice address

2110 N 46TH Avenue
Hollywood, FL 33021-4161

Phone

(954) 985-4267

Fax

(954) 744-4973

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

VANDOR GERIATRIC HOMECARE INC.As reported in NPPES

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

Authorized official

Name

Mrs. Dorothy Agatha Roberts, CMA/CNA

Title

Administrator

Phone

(954) 985-4267

Specialties & licenses 2

Addresses

Other names 1

• Lael Senior Daycare Doing business as

Tax ID family

Vandor Geriatric Homecare Inc2 organizations share this tax ID, including this one

Part of

Vandor Geriatric Homecare Inc

Other organizations with this tax ID 1

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

• Vandor Geriatric Homecare Inc.

  • Assisted Living Facility
  • Hollywood, FL
  • NPI 1710302740
  NPD tax ID

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.

• Vandor Geriatric Homecare Inc.

  • Assisted Living Facility
  • Hollywood, FL
  • NPI 1710302740
  NPPES parent name

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1750681052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 N 46TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214161",
            "telephone_number": "954-985-4267",
            "fax_number": "954-744-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N 46TH AVENUE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214161",
            "telephone_number": "954-985-4267",
            "fax_number": "954-744-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDOR GERIATRIC HOMECARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANDOR GERIATRIC HOMECARE INC.",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "AGATHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-985-4267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA/CNA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "6906149",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "6906149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lael Senior Daycare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kemly Valmyr, NP
• Van Buren Medical Center, Inc.
• Garrett James Van Ostran, DO
• Mary Van, PHARMACY DOCTORATE
• Vandor Geriatric Homecare Inc.
• Vanessa Louissaint OD PA
• Marisol Vanga
• James P Vangelder, M.D.
• Jigna R Vanmali, PHARMD
• Suzanne Vanvalkenburgh, M.D.

• Point of Service in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.