Active NPI
Ismarthomecare
- Personal Care Attendant
- Ft Lauderdale, FL
National Provider Identifier
1962280636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- ISMARTHOMECARE
- Practice address
- 2598 E Sunrise Blvd
Ft Lauderdale, FL 33304-3230 - Phone
- (908) 445-1200
- NPI assigned
- Sep 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tywan Darrell Mata
- Title
- Ceo
- Phone
- (908) 445-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
2598 E Sunrise Blvd
Ft Lauderdale, FL 33304-3230
Mailing address
1121 Thompson Ave
Roselle, NJ 07203-2810
Phone (908) 445-1200
National Provider Directory
National Provider Directory- Tax ID family
- Ismarthomecare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Roselle, NJ
- NPI 1205511326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738886400000",
"number": "1962280636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 THOMPSON AVE",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072032810",
"telephone_number": "908-445-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2598 E SUNRISE BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333043230",
"telephone_number": "908-445-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISMARTHOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-15",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A",
"authorized_official_last_name": "MATA",
"authorized_official_first_name": "TYWAN",
"authorized_official_middle_name": "DARRELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-445-1200"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.