Active NPI
Evans Jamero
- Nursing Home Administrator
- Hollywood, FL
National Provider Identifier
1770936197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 310400000X
- Practice address
- 2527 Jackson St
Hollywood, FL 33020-4930 - Phone
- (954) 628-5187
- NPI assigned
- Jul 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 310400000X | FL | Primary |
Addresses
Primary practice location
2527 Jackson St
Hollywood, FL 33020-4930
Mailing address
2527 Jackson St
Hollywood, FL 33020-4930
Phone (786) 487-9904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310400000X | FL | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1770936197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 JACKSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204930",
"telephone_number": "786-487-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 JACKSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204930",
"telephone_number": "954-628-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMERO",
"first_name": "EVANS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-20",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "FL",
"license": "310400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.