Organization Active NPI

HS1 Medical Management Inc

  • Health Maintenance Organization
  • Fort Lauderdale, FL
National Provider Identifier
1891827408
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HS1 MEDICAL MANAGEMENT INC
Practice address
2001 S Andrews Ave
Fort Lauderdale, FL 33316-3429
Phone
(800) 422-3672
Fax
(305) 620-5876
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Robert J Leahy
Title
President
Phone
(800) 422-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2001 S Andrews Ave
Fort Lauderdale, FL 33316-3429

Mailing address

2001 S Andrews Ave
Fort Lauderdale, FL 33316-3429
Phone (800) 422-3672

Other identifiers 6

IdentifierTypeStateIssuer
COMPANY CODE 168041OtherSCPRIVATE REVIEW AGENT
TPA 44185OtherGATPA LICENSE
TPA20070107OtherILTPA
992366700MedicaidFL
CERT # 1702,REG #806OtherFLPRIVATE REVIEW AGENT
CERT 5358OtherTXPRIVATE REVIEW AGENT

Other names 1

  • Health System One Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1891827408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163429",
            "telephone_number": "800-422-3672",
            "fax_number": "305-620-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163429",
            "telephone_number": "800-422-3672",
            "fax_number": "305-620-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HS1 MEDICAL MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-422-3672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE REVIEW AGENT",
            "identifier": "COMPANY CODE 168041",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA LICENSE",
            "identifier": "TPA 44185",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA",
            "identifier": "TPA20070107",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "992366700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE REVIEW AGENT",
            "identifier": "CERT # 1702,REG #806",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE REVIEW AGENT",
            "identifier": "CERT 5358",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health System One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.