Provider Demographics
NPI:1689145492
Name:MCREGINALD DENIS
Entity Type:Organization
Organization Name:MCREGINALD DENIS
Other - Org Name:ELITE CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MCREGINALD
Authorized Official - Middle Name:H
Authorized Official - Last Name:DENIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-908-3802
Mailing Address - Street 1:500 NE SPANISH RIVER BLVD STE 105C
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4559
Mailing Address - Country:US
Mailing Address - Phone:561-283-3869
Mailing Address - Fax:561-870-0115
Practice Address - Street 1:6741 W SUNRISE BLVD STE A32
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6067
Practice Address - Country:US
Practice Address - Phone:954-908-3802
Practice Address - Fax:561-870-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL233866OtherAHCA