VANDOR GERIATRIC HOMECARE INC. (NPI# 1750681052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750681052 |
| Entity Type | Organization |
| Organization Name | VANDOR GERIATRIC HOMECARE INC. |
| Other Organization Name | LAEL SENIOR DAYCARE |
| Practice Address |
2110 N 46th Avenue Hollywood FL 33021-4161 |
| Mailing Address |
2110 N 46th Ave Hollywood FL 33021-4161 |
| Practice Telephone | 9549854267 |
| Practice Fax Number | 9547444973 |
| Mailing Telephone | 9549854267 |
| Mailing Fax Number | 9547444973 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Authorized Official Name | MRS. DOROTHY AGATHA ROBERTS (ADMINISTRATOR) |
| Authorized Official Telephone | 9549854267 |
| Authorized Official Credential | CMA/CNA |
| Is Organization Subpart | Y |
| Parent Organization Name | VANDOR GERIATRIC HOMECARE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302F00000X | Exclusive Provider Organization | 6906149 | FL | Managed Care Organizations |
| Y | 305S00000X | Point of Service | 6906149 | FL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Lael Senior Daycare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710302740 | Vandor Geriatric Homecare Inc. | Assisted Living Facility | 2110 N 46th Ave, Hollywood, FL 33021-4161 | 2014-02-27 |
| Street Address |
2110 N 46TH AVENUE |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1689128266 | Amplified Neurodiagnostics, P. A. | Point of Service | 2260 N 29th Ave, Unit 302, Hollywood, FL 33020-1710 | 2016-08-11 |
| 1447493770 | Imprimis Health Group | Point of Service | 3990 Sheridan St, Suite 214, Hollywood, FL 33021-3661 | 2009-04-16 |
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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.