Provider Demographics
NPI:1003653650
Name:LUXVILL CARE CORP
Entity type:Organization
Organization Name:LUXVILL CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIELS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-856-8109
Mailing Address - Street 1:12251 TAFT ST STE 403
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1915
Mailing Address - Country:US
Mailing Address - Phone:786-856-8109
Mailing Address - Fax:305-912-2085
Practice Address - Street 1:12251 TAFT ST STE 403
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-1915
Practice Address - Country:US
Practice Address - Phone:786-340-0260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation