Caring Connection of South FL, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CARING CONNECTION OF SOUTH FL, INC

Practice address

9 Redwood CT
Boynton Beach, FL 33426-9352

Phone

(561) 358-7102

NPI assigned

Jan 24, 2022

Last updated

Jan 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Selke

Title

Owner

Phone

(561) 358-7102

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1770235541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 REDWOOD CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334269352",
            "telephone_number": "561-358-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 REDWOOD CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334269352",
            "telephone_number": "561-358-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING CONNECTION OF SOUTH FL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "SELKE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-358-7102"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102712400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677633796",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sendinc.com",
            "affiliation": "N",
            "address_1": "9 Redwood Ct",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334269352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.