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M NICOLAS ENTERPRISE LLC NPI 1962883728


NPI Information

NPI: 1962883728
Provider Name: M NICOLAS ENTERPRISE LLC

Doing Business As: WORLD WIDE HEALTH SERVICES

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 10D2195776

Address:
2500 METROCENTRE BLVD STE 7-8
WEST PALM BEACH, FL
ZIP 33407
Phone: (800) 409-3804
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M NICOLAS ENTERPRISE LLC is an adult day care clinic center in West Palm Beach, FL. M NICOLAS ENTERPRISE LLC NPI is 1962883728. The provider is registered as an organization entity type.
The provider Is Doing Business As World Wide Health Services.

The provider's business location address is:

2500 METROCENTRE BLVD STE 7-8
WEST PALM BEACH, FL
ZIP 33407-107
Phone: (800) 409-3804
Fax: (800) 268-2183

The provider's authorized official is Michelle Nicolas .
The authorized official title is President World Wide Health Service and has the following contact phone number (800) 268-2183.

The CLIA number assigned to this NPI record is 10D2195776 - other - adult day care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 11/1/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2261Q00000XClinic/CenterNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesNo
4385H00000XRespite CareNo
5261QA0600XClinic/CenterAdult Day Care9397FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1115559600MEDICAIDFLORIDA
2021834300MEDICAIDFLORIDA

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: 4/28/2024

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