Provider Demographics
NPI:1275178964
Name:VALUE-BASED CARE LLC
Entity Type:Organization
Organization Name:VALUE-BASED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORANCY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH, MBA
Authorized Official - Phone:786-523-3179
Mailing Address - Street 1:4201 RENAISSANCE WAY
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8232
Mailing Address - Country:US
Mailing Address - Phone:786-523-3179
Mailing Address - Fax:
Practice Address - Street 1:4201 RENAISSANCE WAY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8232
Practice Address - Country:US
Practice Address - Phone:786-523-3179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-17
Last Update Date:2019-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty