M Nicolas Enterprise LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9397 Issued in FL

Legal business name

M NICOLAS ENTERPRISE LLC

Practice address

2500 Metrocentre Blvd Ste 7-8
West Palm Beach, FL 33407-3107

Phone

(800) 409-3804

Fax

(800) 268-2183

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Nicolas

Title

President World Wide Health Service

Phone

(800) 268-2183

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• WORLD WIDE HEALTH SERVICES Doing business as

Locations

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1962883728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROCENTRE BLVD STE 8",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073107",
            "telephone_number": "800-409-3804",
            "fax_number": "800-268-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROCENTRE BLVD STE 7-8",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073107",
            "telephone_number": "800-409-3804",
            "fax_number": "800-268-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M NICOLAS ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT WORLD WIDE HEALTH SERVICE",
        "authorized_official_telephone_number": "800-268-2183",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9397",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115559600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021834300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WORLD WIDE HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WORLD WIDE HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Lyons, LMHC, CAP, ICADC
• Sade M Lyons
• M & M Medical Enterprises, Inc.
• M Cheshire PHD. LLC
• M G Massoumi MD PA
• M. Michael Hanna, DO, PA
• M.D. Behavioral Health
• M.D. Home Health, LLC
• M.J. Wolff, DMD, PA
• Christine A Maale, DPT

• Adult Day Care Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.