MEDICARE: BROWARD NURSING CARE, INC.

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	251E00000X	Home Health Agency	19963834	FL

General Provider Information

NPI Number	:	1639349228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWARD NURSING CARE, INC.

Provider Business Mailing Address
First Line	:	2123 E ATLANTIC BLVD
Second Line	:	SUITE 1
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 E ATLANTIC BLVD
Second Line	:	SUITE 1
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5207
Country	:	US
Telephone Number	:	954-788-6855
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PAMELA ANN CUMMINGS
Credential	:
Telephone Number	:	954-788-6855

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	03/10/2008

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