Provider Type Icon

MEMORIAL HEALTHCARE SYSTEM NPI 1710574108


NPI Information

NPI: 1710574108
Provider Name: MEMORIAL HEALTHCARE SYSTEM
Classification: Peer Specialist - 175T00000X
Entity Type: Organization

CLIA Number: 10D0859309

Address:
7031 TAFT ST
HOLLYWOOD, FL
ZIP 33024
Phone: (954) 662-6107
Get Directions

MEMORIAL HEALTHCARE SYSTEM is a peer specialist in Hollywood, FL. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MEMORIAL HEALTHCARE SYSTEM NPI is 1710574108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7031 TAFT ST
HOLLYWOOD, FL
ZIP 33024-864
Phone: (954) 662-6107

The provider's authorized official is Brandaise Mozell-harvey .
The authorized official title is Family Peer Specialist and has the following contact phone number (954) 662-6107.

The CLIA number assigned to this NPI record is 10D0859309 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2020 and was last updated on 12/31/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.