=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568736155
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACCREDITED HOME HEALTH CARE OF BROWARD, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/29/2012
-----------------------------------------------------
Last Update Date | 10/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3351 EXECUTIVE WAY
-----------------------------------------------------
City | MIRAMAR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33025-3935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-441-6900
-----------------------------------------------------
Fax | 855-441-6941
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3351 EXECUTIVE WAY
-----------------------------------------------------
City | MIRAMAR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33025-3935
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-441-6900
-----------------------------------------------------
Fax | 855-441-6941
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT - CEO
-----------------------------------------------------
Name | LLOYD KIRK ALLEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 205-602-9350
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 299993925
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------