NPIMap

Organization Active NPI

Surcan Holdings LLC

Doing business as Mink Concierge

  • In Home Supportive Care Agency
  • Boynton Beach, FL
National Provider Identifier
1821540535
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
233329 Issued in FL
Legal business name
SURCAN HOLDINGS LLC
Doing business as
Mink Concierge
Practice address
217 N Seacrest Blvd
Suite #712
Boynton Beach, FL 33425-6901
Phone
(461) 247-9069
NPI assigned
Oct 28, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Lynrod DouglasNPI 1396175634
Title
Administrator
Phone
(561) 247-9069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 233329 FL Primary

Addresses

Primary practice location

217 N Seacrest Blvd
Suite #712
Boynton Beach, FL 33425-6901

Mailing address

217 N Seacrest Blvd
Suite #712
Boynton Beach, FL 33425-6901
Phone (561) 247-9069

Other identifiers 1

IdentifierTypeStateIssuer
010134400MedicaidFL

Other names 1

  • Mink Concierge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mink Concierge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

217 N Seacrest Blvd
Unit 712
Boynton Beach, FL 33425
Phone (461) 247-9069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1821540535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N SEACREST BLVD",
            "address_2": "SUITE #712",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334256901",
            "telephone_number": "561-247-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N SEACREST BLVD",
            "address_2": "SUITE #712",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334256901",
            "telephone_number": "461-247-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURCAN HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "LYNROD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-247-9069"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010134400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mink Concierge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

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

Verify at the official NPI Registry.