MEDICARE: CONTINUED CARE PARTNERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1720523269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUED CARE PARTNERS, LLC

Provider Business Mailing Address
First Line	:	1451 W CYPRESS CREEK RD
Second Line	:	SUITE 300
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1961
Country	:	US
Telephone Number	:	917-375-0524
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 W CYPRESS CREEK RD
Second Line	:	SUITE 300
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1961
Country	:	US
Telephone Number	:	917-375-0524
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ALTIA LANDIS
Credential	:	ARNP
Telephone Number	:	917-375-0524

Provider Enumeration Date	:	12/19/2016
Last Update Date	:	01/03/2017

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