Healthcare Provider Details

I. General information

NPI: 1255357703
Provider Name (Legal Business Name): BROWARD NURSING & REHABILITATION CENTER,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 S ANDREWS AVE
FT LAUDERDALE FL
33316-1838
US

IV. Provider business mailing address

1330 S ANDREWS AVE
FT LAUDERDALE FL
33316-1838
US

V. Phone/Fax

Practice location:
  • Phone: 954-524-5587
  • Fax: 954-463-4428
Mailing address:
  • Phone: 954-524-5587
  • Fax: 954-463-4428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF10670962
License Number StateFL

VIII. Authorized Official

Name: MR. JOHN HYMANS
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-524-5587