Healthcare Provider Details
I. General information
NPI: 1063207595
Provider Name (Legal Business Name): HOLY CROSS HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5601 N DIXIE HWY
OAKLAND PARK FL
33334-4148
US
IV. Provider business mailing address
PO BOX 531853
ATLANTA GA
30353-1853
US
V. Phone/Fax
- Phone: 954-771-8000
- Fax:
- Phone: 954-351-4702
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WD0400X |
| Taxonomy | Diabetes Educator Registered Nurse |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PIERRE
MONICE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 708-216-9297