South Broward Hospital District in Pembroke Pines - Skilled Nursing Facility
South Broward Hospital District - NPI 1114920584
South Broward Hospital District is a Skilled Nursing Facility in Pembroke Pines, Florida. South Broward Hospital District practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for South Broward Hospital District is 1114920584. The last update date is 2019-01-23.
South Broward Hospital District's current location address is 777 S Douglas Rd, Pembroke Pines, Florida. You can contact this provider via phone number 9544311100 and fax number 9544434798. The mailing address for South Broward Hospital District is 777 S Douglas Rd, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Broward Hospital District |
|---|---|
| Address | 777 S Douglas Rd, Pembroke Pines, Florida |
| Phone Number | 9544311100 |
| Fax Number | 9544434798 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Hennemyre Jon |
| Credentials | NHA |
| Telephone Number | 9542766201 |
NPI Number Detail
| NPI Number | 1114920584 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2019-01-23 |
Provider Mailing Address Detail
| Address | 777 S Douglas Rd |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 3302513530 |
| Phone Number | 9544311100 |
| Fax Number | 9544434798 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF1342096 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20100600 | FL | -- |
Post Comment/ Review Below
What is the South Broward Hospital District's unique identification number?
The South Broward Hospital District has been assigned the NPI (National Provider Identifier) Number 1114920584 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of South Broward Hospital District?
The South Broward Hospital District is physically situated at 777 S Douglas Rd, in the city of Pembroke Pines, state of FL, with the postal code 3302513530.
What is the South Broward Hospital District's specialty and taxonomy code?
The South Broward Hospital District's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
When did South Broward Hospital District receive its 1114920584 assignment?
The South Broward Hospital District was assigned its 1114920584 on 2005-05-31, which is the date when this unique identifier was issued to the organization.
As of what date were the South Broward Hospital District's details last updated?
The information pertaining to the South Broward Hospital District, including its address, specialty, and other details, was most recently updated on 2019-01-23.
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