Provider Demographics
NPI:1437768116
Name:CARE FOR YOU MEDICAL CENTER MARGATE, LLC
Entity Type:Organization
Organization Name:CARE FOR YOU MEDICAL CENTER MARGATE, LLC
Other - Org Name:CARE FOR YOU MEDICAL CENTER, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-558-4717
Mailing Address - Street 1:5412 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5209
Mailing Address - Country:US
Mailing Address - Phone:954-558-4717
Mailing Address - Fax:954-827-8144
Practice Address - Street 1:5412 WEST ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063
Practice Address - Country:US
Practice Address - Phone:954-558-4717
Practice Address - Fax:954-558-4717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110186900Medicaid
FL1730699307OtherNPI
FL1063864767OtherNPI
FL113893100Medicaid
FL1700411188OtherNPI
FL111810400Medicaid
FL115839500Medicaid
FL4440089Medicaid