NPIMap

Organization Active NPI

North Broward Hospital District

  • Home Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1932144755
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20406096 Issued in FL
Legal business name
NORTH BROWARD HOSPITAL DISTRICT
Practice address
309 SE 18TH Street
Fort Lauderdale, FL 33316
Phone
(954) 785-2990
Fax
(954) 782-1061
NPI assigned
Jun 17, 2006
Last updated
Dec 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Mr. Stuart M Glassberg
Title
Manager, Third Party Reimbursement
Phone
(954) 767-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20406096 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 26, 2022 Change of OwnershipThis provider was the seller Independent Living Home HealthCCN 107073, FL, NPI 1770213985

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1932144755",
    "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": "954-782-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROWARD HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "GLASSBERG",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER, THIRD PARTY REIMBURSEMENT",
        "authorized_official_telephone_number": "954-767-5242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20406096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.