MEDICARE: BROWARD NURSING & REHABILITATION CENTER,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	SNF10670962	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255357703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWARD NURSING & REHABILITATION CENTER,LLC

Provider Business Mailing Address
First Line	:	1330 S ANDREWS AVE
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1838
Country	:	US
Telephone Number	:	954-524-5587
Fax Number	:	954-463-4428

Provider Business Practice Location Address
First Line	:	1330 S ANDREWS AVE
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1838
Country	:	US
Telephone Number	:	954-524-5587
Fax Number	:	954-463-4428

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JOHN HYMANS
Credential	:
Telephone Number	:	954-524-5587

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	04/15/2015

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