Active NPI
North Broward Hospital District
- Community Based Hospice Care Agency
- Fort Lauderdale, FL
National Provider Identifier
1912935974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 5017096
- Legal business name
- NORTH BROWARD HOSPITAL DISTRICT
- Practice address
- 309 SE 18TH Street
Fort Lauderdale, FL 33316 - Phone
- (954) 785-2990
- Fax
- (954) 847-4245
- NPI assigned
- Jun 29, 2006
- Organization subpart
- Yes
- Parent organization
- NORTH BROWARD HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert K Martin
- Title
- Sr. Vice President, Cfo
- Phone
- (954) 473-7022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 5017096 | FL | Primary |
Addresses
Primary practice location
309 SE 18TH Street
Fort Lauderdale, FL 33316
Mailing address
309 SE 18TH Street
Fort Lauderdale, FL 33316
Phone (954) 785-2990
Other names 1
- Hospice of Gold Coast
National Provider Directory
National Provider Directory- Part of
- Robert L Odell MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449187200000",
"number": "1912935974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 SE 18TH STREET",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33316",
"telephone_number": "954-785-2990",
"fax_number": "954-782-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 SE 18TH STREET",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33316",
"telephone_number": "954-785-2990",
"fax_number": "954-847-4245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH BROWARD HOSPITAL DISTRICT",
"enumeration_date": "2006-06-29",
"last_updated": "2015-12-04",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "SR. VICE PRESIDENT, CFO",
"authorized_official_telephone_number": "954-473-7022",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "FL",
"license": "5017096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice of Gold Coast",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
- North Broward Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.