=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780282616
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CROY & NROY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/13/2020
-----------------------------------------------------
Last Update Date | 06/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2700 NW OAKLAND PARK BLVD STE# 18 C AND 18 D
-----------------------------------------------------
City | OAKLAND PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-990-7135
-----------------------------------------------------
Fax | 888-246-7172
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2700 W OAKLAND PARK BLVD
-----------------------------------------------------
City | OAKLAND PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33311-1364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-990-7135
-----------------------------------------------------
Fax | 888-246-7172
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | CYNTHIA ROY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-990-7135
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------