=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104623255
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BROWARD ELITE CARE GROUP INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2025
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7971 RIVIERA BLVD STE 307
-----------------------------------------------------
City | MIRAMAR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33023-6447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-718-5342
-----------------------------------------------------
Fax | 305-675-6469
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7971 RIVIERA BLVD STE 307
-----------------------------------------------------
City | MIRAMAR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33023-6447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-718-5342
-----------------------------------------------------
Fax | 305-675-6469
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | LISET BORGES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-718-5342
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------