Healthcare Provider Details

I. General information

NPI: 1578232898
Provider Name (Legal Business Name): TOTAL CARE FACILITIES GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 GLADES RD STE 324A
BOCA RATON FL
33431-8571
US

IV. Provider business mailing address

2255 GLADES RD STE 324A
BOCA RATON FL
33431-8571
US

V. Phone/Fax

Practice location:
  • Phone: 954-648-3315
  • Fax:
Mailing address:
  • Phone: 954-648-3315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIET MCNEIL
Title or Position: PRESIDENT
Credential: RBT
Phone: 954-648-3315