Healthcare Provider Details

I. General information

NPI: 1962522524
Provider Name (Legal Business Name): HHC FOCUS FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 SW 106TH AVE
COOPER CITY FL
33328
US

IV. Provider business mailing address

5960 SW 106TH AVE
COOPER CITY FL
33328
US

V. Phone/Fax

Practice location:
  • Phone: 954-680-2700
  • Fax: 954-680-3975
Mailing address:
  • Phone: 954-680-2700
  • Fax: 954-680-3975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1006AD826501
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number8617
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1006AD826501
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1706AD826501
License Number StateFL

VIII. Authorized Official

Name: MS. GINA K LEE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 954-463-2962