Mederi of Coral Springs, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDERI OF CORAL SPRINGS, INC

Practice address

10011 Pines Blvd
Suite 203D
Pembroke Pines, FL 33024-6189

Phone

(305) 668-9020

Fax

(305) 661-4910

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David A Nesslein

Title

Owner

Phone

(305) 668-9020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972599017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144536",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331144536",
            "telephone_number": "305-668-9020",
            "fax_number": "305-661-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 PINES BLVD",
            "address_2": "SUITE 203D",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246189",
            "telephone_number": "305-668-9020",
            "fax_number": "305-661-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDERI OF CORAL SPRINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NESSLEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-668-9020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.