Organization Active NPI

Ez Sleep Diagnostic Center Corp

Doing business as Crossroads Center of Broward

  • Community/Behavioral Health Agency
  • Pembroke Pines, FL
National Provider Identifier
1770803694
Registry record updated Aug 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EZ SLEEP DIAGNOSTIC CENTER CORP
Doing business as
Crossroads Center of Broward
Practice address
10011 Pines Blvd Ste 201
Pembroke Pines, FL 33024-6167
Phone
(305) 303-1274
NPI assigned
Jun 2, 2010
Last updated
Aug 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2011

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

Authorized official

Name
Ms. Deena Weiss, LCSW
Title
Coo
Phone
(305) 303-1274

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Medical Laboratory 291U00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10011 Pines Blvd Ste 201
Pembroke Pines, FL 33024-6167

Mailing address

10011 Pines Blvd Ste 201
Pembroke Pines, FL 33024-6167
Phone (305) 303-1274

Other names 1

  • Crossroads Center of Broward Doing business as

National Provider Directory

National Provider Directory

Locations

10011 Pines Blvd
Ste 201
Pembroke Pines, FL 33024
Phone (954) 435-9779

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312675200000",
    "number": "1770803694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 PINES BLVD STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246167",
            "telephone_number": "305-303-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 PINES BLVD STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246167",
            "telephone_number": "305-303-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ SLEEP DIAGNOSTIC CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2011-08-07",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-303-1274",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Center of Broward",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; 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.