NPIMap

Organization Active NPI

Foundation Intervention Services LLC

  • Early Intervention Provider Agency
  • Lake Worth, FL
National Provider Identifier
1891237244
Registry record updated Feb 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
FOUNDATION INTERVENTION SERVICES LLC
Practice address
4776 Via Bari Apt 6304
Lake Worth, FL 33463-6793
Phone
(954) 326-2262
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2022

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

Authorized official

Name
Rushelle CampbellNPI 1386003556
Title
Director
Phone
(954) 326-2262

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
Early Intervention Provider Agency 252Y00000X FL Primary

Addresses

Primary practice location

4776 Via Bari Apt 6304
Lake Worth, FL 33463-6793

Mailing address

4776 Via Bari Apt 6304
Lake Worth, FL 33463-6793
Phone (954) 326-2262

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645920000000",
    "number": "1891237244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4776 VIA BARI APT 6304",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636793",
            "telephone_number": "954-326-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 VIA BARI APT 6304",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636793",
            "telephone_number": "954-326-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION INTERVENTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2022-02-27",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "RUSHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-326-2262"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; 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.