NPIMap

Organization Active NPI

Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
National Provider Identifier
1902826779
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3983 Issued in FL
Legal business name
BOCA RATON REGIONAL HOSPITAL, INC.
Practice address
800 Meadows Road
Boca Raton, FL 33486-9952
Phone
(561) 955-4200
Fax
(561) 955-5151
NPI assigned
Jul 21, 2006
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Lincoln Mendez
Title
Ceo
Phone
(561) 955-3032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3983 FL Primary

Addresses

Primary practice location

800 Meadows Road
Boca Raton, FL 33486-9952

Mailing address

800 Meadows Road
Boca Raton, FL 33486-9952
Phone (561) 955-4200

Other identifiers 1

IdentifierTypeStateIssuer
010141900MedicaidFL

Other names 1

  • Boca Raton Community Hospital, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071214000085 FL Part A Provider - Hospital 2961481205 Practice locations: Delray Beach, FL; Boca Raton, FL; Deerfield Beach, FL; Boynton Beach, FL
O20220207001631 FL Part B Supplier - Clinic/Group Practice 7315330776 Receives reassigned benefits from 6 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boca Raton, FL; Tamarac, FL; Naples, FL; Bonita Springs, FL; Margate, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902826779. Details of each certification follow.

Hospital certification: CCN 100168

Legal name
BOCA RATON REGIONAL HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 27, 1967
Last certification
Oct 20, 1992
Beds
400
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 27, 1962 in FL
Enrollment address
800 Meadows Rd
Boca Raton, FL 33486-2304
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Boca Raton Regional HospitalCCN 100168 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Assistance Solution Corp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 14

Organizations listed as members of this organization in the National Provider Directory.

View all 14

Locations

745 Meadows Rd
Boca Raton, FL 33486

10301 Hagen Ranch Rd
Ste A960
Boynton Beach, FL 33437
Phone (561) 374-5440

3313 W Hillsboro Blvd
Ste 201
Deerfield Beach, FL 33442
Phone (561) 955-2100

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lincoln Mendez Individual Corporate OfficerCeo Jul 1, 2019
George Khoriaty Individual Corporate DirectorBoard of Director Jan 1, 2025
Boca Raton Regional Hospital Inc Organization, Boca Raton, FL Corporation, Non-profit Operational/Managerial Control Oct 1, 2021
Ralph Lawson Individual Corporate Director Jul 1, 2019
Warren S Orlando Individual Corporate Director Jul 1, 2019
David Kirschner Individual Corporate Director Jul 1, 2019
Charlotte Rubin Individual Corporate Director Feb 27, 2023
Helen Kelbanoff Individual Corporate DirectorBoard of Director Oct 1, 2025
Jay Hershoff Individual Corporate Director Feb 28, 2023
Haroula P Norden Individual W-2 Managing EmployeeCoo Feb 28, 2023
Jeff Hollander Individual Corporate Director Feb 27, 2023
Ronald Assaf Individual Corporate Director Jul 1, 2019
Lawrence Feldman Individual Corporate Director Feb 27, 2023
Richard J Damron Individual Corporate Director Jul 1, 2019
Clara Bennett Individual Corporate DirectorBoard of Director Feb 7, 2024
Sophia Eccleston Individual Corporate Director Jul 1, 2019
Baptist Health South Florida Inc Organization, Coral Gables, FL Operational/Managerial Control Feb 28, 2023
Michael Gross Individual Corporate Director Jul 1, 2019
Ari I Wirtschafter Individual Corporate Director Feb 28, 2023
Matthew Arsenault Individual Corporate Officer Jul 1, 2019
Lawrence Altschul Individual Corporate Director Jul 1, 2019
Christopher Wheeler Individual Corporate Director Jul 1, 2019
Pat Thomas Individual Corporate Director Feb 27, 2023
Christine Lynn Individual Corporate Officer Jul 1, 2019
Robert S Sanda Individual Corporate Director Jan 1, 2022
Ira L Lazar Individual Corporate Director Jul 1, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

Affiliated clinicians 1,601

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,601

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1902826779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEADOWS ROAD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334869952",
            "telephone_number": "561-955-4200",
            "fax_number": "561-955-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS ROAD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334869952",
            "telephone_number": "561-955-4200",
            "fax_number": "561-955-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON REGIONAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-955-3032"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "3983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010141900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Raton Community Hospital, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Boca Raton Community Hospital, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.