ESSENCE OF LIFE HEALTH LLC


Address: 3860 Sheridan St Ste B, Hollywood, FL 33021-3624
Phone: 2486884460

ESSENCE OF LIFE HEALTH LLC (NPI# 1013555077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013555077
Entity Type Organization
Organization Name ESSENCE OF LIFE HEALTH LLC
Practice Address 3860 Sheridan St Ste B
Hollywood
FL 33021-3624
Mailing Address 11752 Sw 16th St
Pembroke Pines
FL 33025-3793
Practice Telephone 2486884460
Enumeration Date 2019-12-20
Last Update Date 2019-12-20
Authorized Official Name EBONI DAVIS (NURSE PRACTIONER/OWNER)
Authorized Official Telephone 2486884460
Authorized Official Credential FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 3860 SHERIDAN ST STE B
City HOLLYWOOD
State FL
Zip Code 33021-3624

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1861987836 Heart Health Associates Pa Clinic/Center 7369 Sheridan St Ste 300, Hollywood, FL 33024-2776 2018-06-22
1003234659 Path Medical Center Inc Clinic/Center 2544 N State Road 7, Hollywood, FL 33021-3205 2014-04-01
1023388915 The Wellness Center At Post Haste Clinic/Center 4401 Sheridan St, Hollywood, FL 33021-3513 2012-01-09

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Competitor

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City HOLLYWOOD
Zip Code 33021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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