Healthcare Provider Details

I. General information

NPI: 1336043611
Provider Name (Legal Business Name): SOCIAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S ANDREWS AVE STE 401
FORT LAUDERDALE FL
33301-2063
US

IV. Provider business mailing address

200 S ANDREWS AVE STE 401
FORT LAUDERDALE FL
33301-2063
US

V. Phone/Fax

Practice location:
  • Phone: 646-568-0701
  • Fax:
Mailing address:
  • Phone: 646-568-0701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: SIGAL ADINYAYEV
Title or Position: ADMINISTRATOR
Credential: MSW
Phone: 646-568-0701