BERNADETTE PREMIUM HEALTHCARE LLC
NPI 1730707175
Clinic/Center - Developmental Disabilities in Riviera Beach, FL

Active since July 13, 2020
2546 CANTERBURY DR N, RIVIERA BEACH, FL 33407(561) 502-9416 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Developmental Disabilities

About BERNADETTE PREMIUM HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Bernadette Premium Healthcare Llc, a provider established in Riviera Beach, Florida operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1730707175 assigned on July 2020. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Marie Veronique Datis (President)

NPI
1730707175 Verify this NPI
Provider Name
BERNADETTE PREMIUM HEALTHCARE LLC
Entity Type
Organization
Location Address
2546 CANTERBURY DR N RIVIERA BEACH, FL 33407
Location Phone
(561) 502-9416
Mailing Address
2546 CANTERBURY DR N RIVIERA BEACH, FL 33407
Mailing Phone
(561) 502-9416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2020
Last Update Date
07-13-2020
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIE VERONIQUE DATIS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(561) 502-9416

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730707175, enumerated as an "organization" on July 13, 2020.

The provider is located at 2546 CANTERBURY DR N RIVIERA BEACH, FL 33407 and the phone number is (561) 502-9416.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.