PARKSIDE MEMORY CARE LLC
NPI 1003640228
Assisted Living Facility in Tamarac, FL

Active since August 29, 2024CLIA 10D2316584 · Waiver
7501 NW 76TH STREET, TAMARAC, FL 33321(786) 295-5914(561) 734-6101 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Parkside Memory Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKSIDE MEMORY CARE LLC (NPI 1003640228), doing business as Parkside Tamarac, is a healthcare organization registered as an assisted living facility in Tamarac, Florida and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Seema S Lakhani, Exceutive Director, as its authorized official.

NPPES Registry Identity

NPI1003640228
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePARKSIDE MEMORY CARE LLC
Location Address7501 NW 76TH STREETTamarac, FL 33321
Mailing Address7501 Nw 76th StreetTamarac, FL 33321 · (786) 295-5914 · Fax (561) 734-6101
Fax(561) 734-6101
Organization SubpartNo
Authorized OfficialSeema S LakhaniExceutive Director · (786) 295-5914
Enumeration DateAugust 29, 2024
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1003640228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
7501 NW 76TH STREET, Tamarac, FL 33321

Other Names 1

Doing Business AsParkside Tamarac

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2316584

Parkside Memory Care LLC Dba Parkside Tamarac · Tamarac, FL
Active · expires Jan 7, 2027
CLIA Number10D2316584
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorSeema Lakhani
Laboratory Phone(786) 295-5914
Laboratory LocationParkside Memory Care LLC Dba Parkside Tamarac7501 NW 76th Street, Tamarac, FL 33321
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parkside Memory Care LLC's NPI number?

The NPI number for Parkside Memory Care LLC is 1003640228. It was assigned to this organization in the NPPES registry on August 29, 2024. The provider is doing business as Parkside Tamarac.

Where is Parkside Memory Care LLC located?

Parkside Memory Care LLC is located at 7501 NW 76th Street, Tamarac, FL 33321. The listed phone number is (786) 295-5914.

What is Parkside Memory Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Parkside Memory Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2316584) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parkside Memory Care LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.