Organization Active NPI

Southeast Health Group, Inc.

  • Home Health Agency
  • Hollywood, FL
National Provider Identifier
1942250600
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
21105096 Issued in FL
Legal business name
SOUTHEAST HEALTH GROUP, INC.
Practice address
2750 N 29TH Ave
Hollywood, FL 33020-1521
Phone
(954) 588-9996
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Ann Stember
Title
Dir
Phone
(954) 588-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 21105096 FL Primary

Addresses

Primary practice location

2750 N 29TH Ave
Hollywood, FL 33020-1521

Mailing address

2750 N 29TH Ave
Hollywood, FL 33020-1521
Phone (954) 588-9996

Other names 1

  • American Health Services of Broward Doing business as

National Provider Directory

National Provider Directory

Locations

7900 Nova Dr
Ste 205
Davie, FL 33324
Phone 9543706363232

2750 N 29th Ave
Hollywood, FL 33020
Phone (954) 588-9996

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1942250600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N 29TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201521",
            "telephone_number": "954-588-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N 29TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201521",
            "telephone_number": "954-588-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HEALTH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "STEMBER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DIR",
        "authorized_official_telephone_number": "954-588-9996"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21105096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Health Services of Broward",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.