Healthcare Provider Details

I. General information

NPI: 1972056968
Provider Name (Legal Business Name): HAMPTON HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2016
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7947 JOHNSON ST APT 11
PEMBROKE PINES FL
33024
US

IV. Provider business mailing address

7947 JOHNSON ST APT 11
PEMBROKE PINES FL
33024-6847
US

V. Phone/Fax

Practice location:
  • Phone: 954-549-9564
  • Fax:
Mailing address:
  • Phone: 954-549-9564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberPN5154215
License Number StateFL

VIII. Authorized Official

Name: MS. TAMMY D HAMPTON
Title or Position: CEO/FOUNDER/PRESIDENT
Credential: LPN
Phone: 954-549-9564