Provider Demographics
NPI:1821495862
Name:NATIONAL HEALTHCARE GROUP LLC
Entity Type:Organization
Organization Name:NATIONAL HEALTHCARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHOTTENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-644-7753
Mailing Address - Street 1:170 NE 2ND ST # 906
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-3931
Mailing Address - Country:US
Mailing Address - Phone:813-644-7753
Mailing Address - Fax:888-482-2405
Practice Address - Street 1:7520 NW 5TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1613
Practice Address - Country:US
Practice Address - Phone:813-644-7753
Practice Address - Fax:888-482-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty