MASTERMIND CARE INC NPI 1427687714

NPI Information

NPI: 1427687714
Provider Name: MASTERMIND CARE, INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 10D2182990

Address:
441 S STATE ROAD 7 STE 15
MARGATE, FL
ZIP 33068
Phone: (954) 548-6303
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MASTERMIND CARE, INC is a rehabilitation and substance use disorder clinic center in Margate, FL. MASTERMIND CARE, INC NPI is 1427687714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

441 S STATE ROAD 7 STE 15
MARGATE, FL
ZIP 33068-967
Phone: (954) 548-6303

The provider's authorized official is Jeannie Louise Barreda .
The authorized official title is Chief Executive Officer and has the following contact phone number (954) 548-6303.

The CLIA number assigned to this NPI record is 10D2182990 - other - op addiction tx with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2020 and was last updated on 4/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	251S00000X	Community/Behavioral Health		No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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