Harbor Beach Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF11940963 Issued in FL

Legal business name

HARBOR BEACH HEALTH CARE ASSOCIATES LLC

Practice address

1615 Miami Rd
Ft Lauderdale, FL 33316-2933

Phone

(954) 523-5673

Fax

(954) 523-3010

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Roland Menezil

Title

Manager

Phone

(954) 523-5673

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harbor Beach Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369526400000",
    "number": "1801841036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 MIAMI RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162933",
            "telephone_number": "954-523-5673",
            "fax_number": "954-523-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MIAMI RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162933",
            "telephone_number": "954-523-5673",
            "fax_number": "954-523-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR BEACH HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-05-26",
        "status": "A",
        "authorized_official_last_name": "MENEZIL",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-523-5673"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11940963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025225500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Beach Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farwah Haq, O.D.
• Faria Haque, MS, CCC-SLP
• Ali Abbas Harake, MD
• Patricia Harari
• Sol Harari, MD
• Harbor Haven Companion Care LLC
• Harborlight Home Care LLC
• Darrell Hardin II, PT, DPT
• Marjorie Hardy-Hibbert
• Alexander Carson Hardy, DO

• Skilled Nursing Facility in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2013; 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.