Provider Demographics
NPI:1235371147
Name:CONTEMPORARY HEALTHCARE
Entity Type:Organization
Organization Name:CONTEMPORARY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MAYSELIN
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,CCM
Authorized Official - Phone:954-376-2697
Mailing Address - Street 1:800 E EVANSTON CIR
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-1937
Mailing Address - Country:US
Mailing Address - Phone:954-376-2697
Mailing Address - Fax:954-327-7948
Practice Address - Street 1:800 E EVANSTON CIR
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-1937
Practice Address - Country:US
Practice Address - Phone:954-376-2697
Practice Address - Fax:954-327-7948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228459253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL228459OtherACHA