HARBOR MEMORY CARE OF TAMARAC
NPI 1669893921
Assisted Living Facility in Tamarac, FL
- Organization
- Assisted Living Facility
- CLIA Number: 10D0975113
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 06-26-2026
About HARBOR MEMORY CARE OF TAMARAC
This page provides the complete NPI Profile along with additional information for Harbor Memory Care Of Tamarac, a provider established in Tamarac, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1669893921 assigned on January 2014. The practitioner's primary taxonomy code is 310400000X with license number AL9833 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Harbor Memory Care Of Tamarac. The authorized official of this NPI record is Thomas Mitchell (Treasurer)
- NPI
- 1669893921 Verify this NPI
- Provider Legal Name
- HARBORCHASE OF TAMARAC, INC.
- Other Organization Name
- HARBOR MEMORY CARE OF TAMARAC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6855 NW 70TH AVE TAMARAC, FL 33321
- Location Phone
- (954) 722-0212
- Location Fax
- (952) 722-0357
- Mailing Address
- 1440 HIGHWAY A1A VERO BEACH, FL 32963
- Mailing Phone
- (772) 492-5002
- Mailing Fax
- (772) 492-5005
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2014
- Last Update Date
- 01-03-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AL9833
- License State
- FL
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0975113
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 27, 2024
- Certificate Expiration Date
- June 26, 2026
- Laboratory Director
- LAURA FUSARO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Harbor Memory Care Of Tamarac to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669893921, enumerated as an "organization" on January 03, 2014.
The provider is located at 6855 NW 70TH AVE TAMARAC, FL 33321 and the phone number is (954) 722-0212.
Assisted Living Facility with taxonomy code 310400000X.
