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COLLABORATIVE MEDICAL HOME SERVICES LLC
NPI 1194278192
Nurse Practitioner - Gerontology in Lake Worth, FL

Active since July 27, 2016
3744 CYPRESS LAKE DR, LAKE WORTH, FL 33467(561) 907-7413 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Collaborative Medical Home Services Llc NPPES

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

COLLABORATIVE MEDICAL HOME SERVICES LLC (NPI 1194278192) is a healthcare organization registered as a gerontology in Lake Worth, Florida and active in the NPI registry since July 2016. The organization lists Diana O'connor, President, as its authorized official.

NPPES Registry Identity

NPI1194278192
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameCOLLABORATIVE MEDICAL HOME SERVICES LLC
Location Address3744 CYPRESS LAKE DRLake Worth, FL 33467-2203
Mailing Address3744 Cypress Lake DrLake Worth, FL 33467-2203
Phone(561) 907-7413
Organization SubpartNo
Authorized OfficialDiana O'connorPresident · (561) 632-2898
Enumeration DateJuly 27, 2016
Last NPPES UpdateApril 25, 2017
✔ NPI 1194278192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
3744 CYPRESS LAKE DR, Lake Worth, FL 33467
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Collaborative Medical Home Services LLC's NPI number?

The NPI number for Collaborative Medical Home Services LLC is 1194278192. It was assigned to this organization in the NPPES registry on July 27, 2016.

Where is Collaborative Medical Home Services LLC located?

Collaborative Medical Home Services LLC is located at 3744 Cypress Lake Dr, Lake Worth, FL 33467. The listed phone number is (561) 907-7413.

What is Collaborative Medical Home Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Collaborative Medical Home Services LLC was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.