Organization Active NPI

Amaryllis Managed Care, LLC

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
National Provider Identifier
1891166088
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMARYLLIS MANAGED CARE, LLC
Practice address
1897 Palm Beach Lakes Blvd Ste 208
West Palm Beach, FL 33409
Phone
(561) 814-7505
NPI assigned
Oct 13, 2015
Last updated
Aug 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Mrs. Yasmine Dominique
Title
MGR
Phone
(561) 316-6576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1897 Palm Beach Lakes Blvd Ste 208
West Palm Beach, FL 33409

Mailing address

1897 Palm Beach Lakes Blvd Ste 208
West Palm Beach, FL 33409-3508
Phone (561) 814-7505

National Provider Directory

National Provider Directory

Locations

1897 Palm Beach Lakes Blvd
Ste 208
West Palm Beach, FL 33409
Phone (321) 247-7149

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": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1891166088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD STE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093508",
            "telephone_number": "561-814-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD STE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-814-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARYLLIS MANAGED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "DOMINIQUE",
        "authorized_official_first_name": "YASMINE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-316-6576",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.