MEDICARE: NURSING PLUS OF BROWARD, 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730304882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSING PLUS OF BROWARD, LLC

Provider Business Mailing Address
First Line	:	2429 HOLLYWOOD BLVD STE 100
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6605
Country	:	US
Telephone Number	:	954-963-8550
Fax Number	:	954-963-8551

Provider Business Practice Location Address
First Line	:	2429 HOLLYWOOD BLVD STE 100
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6605
Country	:	US
Telephone Number	:	954-963-8550
Fax Number	:	954-963-8551

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SHERRIE QUITERIO
Credential	:	RN
Telephone Number	:	954-963-8550

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	06/26/2019

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