Organization Active NPI

Collaborative Health Care LLC

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1952815946
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COLLABORATIVE HEALTH CARE LLC
Practice address
950 N Federal Hwy Ste 216
Pompano Beach, FL 33062-4328
Phone
(954) 533-7705
Fax
(954) 337-2674
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Erin Kennedy
Title
National RCM
Phone
(954) 533-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

950 N Federal Hwy Ste 216
Pompano Beach, FL 33062-4328

Mailing address

950 N Federal Hwy Ste 216
Pompano Beach, FL 33062-4328
Phone (954) 533-7705

National Provider Directory

National Provider Directory

Locations

950 N Federal Hwy
Ste 216
Pompano Beach, FL 33062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1952815946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N FEDERAL HWY STE 216",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624328",
            "telephone_number": "954-533-7705",
            "fax_number": "954-337-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N FEDERAL HWY STE 216",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624328",
            "telephone_number": "954-533-7705",
            "fax_number": "954-337-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NATIONAL RCM",
        "authorized_official_telephone_number": "954-533-7705"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.