COMPLEX CLINICAL MANAGEMENT, INC (NPI# 1285908087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285908087 |
| Entity Type | Organization |
| Organization Name | COMPLEX CLINICAL MANAGEMENT, INC |
| Other Organization Name | YOUR HOME ADVANTAGE |
| Practice Address |
700 W Hillsboro Blvd Building 1, Suite 203 Deerfield Beach FL 33441-1609 |
| Mailing Address |
500 W Main St Louisville KY 40202-2946 |
| Practice Telephone | 8664487716 |
| Practice Fax Number | 9548437307 |
| Mailing Telephone | 8664487716 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | DR. PHILIP PAINTER (PRESIDENT) |
| Authorized Official Telephone | 2129946000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SENIORBRIDGE FAMILY COMPANIES (FL), INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Your Home Advantage | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COMPLEX CLINICAL MANAGEMENT, INC | 500 W Main St, Louisville, KY 40202 |
| Oregon Corporations, Companies and Business Names | COMPLEX CLINICAL MANAGEMENT, INC. | 500 W Main St, Louisville, KY 40202 |
| Connecticut Business Registrations | Complex Clinical Management, Inc. | 500 W. Main Street, Louisville, KY 40202 |
| Iowa Business Entities | COMPLEX CLINICAL MANAGEMENT, INC. | 500 West Main Street, Louisville, KY 40202 |
| New York State Corporations | COMPLEX CLINICAL MANAGEMENT, INC. | 28 Liberty Street, New York, Ny 10005 |
| Street Address |
700 W HILLSBORO BLVD BUILDING 1, SUITE 203 |
| City | DEERFIELD BEACH |
| State | FL |
| Zip Code | 33441-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760684435 | Mitchell Marc Hantman | Dentist | 700 W Hillsboro Blvd, Building 1 - Suite 109, Deerfield Beach, FL 33441-1612 | 2007-06-04 |
| 1548754781 | Catherine Kite | Nurse Practitioner | 700 W Hillsboro Blvd, Bldg 1, Suite 203, Deerfield Beach, FL 33441 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808639 | Rosys Paula | Family Medicine | 1100 Us-1, Deerfield Beach, FL 33441 | 2020-10-14 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1699335398 | Stephanie Palma | Behavior Technician | 500 Fairway Dr, Suite 102 Deerfield Beach, Fl 33441, Deerfield Beach, FL 33441 | 2019-06-17 |
| 1447813043 | Cassidy Burke | Behavior Technician | Butterfly Effects LLC. 500 Fairway Dr., Suite 102, Deerfield Beach, FL 33441 | 2019-04-18 |
| 1417447715 | Nicola Rotoli | Massage Therapist | 2806a Sw Natura Nlvd, Unit A, Deerfield Beach, FL 33441 | 2018-05-14 |
| 1669998076 | Tellus LLC | Home Health | 800 Fairway Dr #360, Deerfield Beach, FL 33441 | 2017-08-17 |
| 1699204958 | Christine Angelo | Behavior Technician | 500 Fairway Dr.suite 102, Deerfield Beach, FL 33441 | 2017-06-08 |
| 1053848705 | Coqui Medical Specialties | Durable Medical Equipment & Medical Supplies | 832 S.e. 8th Avenue, Deerfield Beach, FL 33441 | 2017-05-12 |
| 1114462082 | Christopher Gamboa | Physician Assistant | 1000 E Hillsboro Blvd Ste 102, Deerfield Beach, FL 33441 | 2016-12-30 |
| 1871041285 | Erica Etienne | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 33441 | 2016-09-14 |
| Find all providers in zip 33441 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183003 | Ginge Brien | Internal Medicine | 1886 W Hillsboro Blvd, Deerfield Beach, FL 33442-1417 | 2005-09-02 |
| 1235369505 | Your Home Advantage Inc. | Internal Medicine | 600 W Hillsboro Blvd Ste 110, Deerfield Beach, FL 33441-1610 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087722 | Norma Leticia Goodrich | Internal Medicine | 19265 Nw 252nd St, Okeechobee, FL 34972-6966 | 2020-09-14 |
| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
| Find all providers with the same taxonomy | ||||
| City | DEERFIELD BEACH |
| Zip Code | 33441 |
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| 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.