EL-SHADDAI ELOHIM MEDICAL CENTER
NPI 1730808940
Nurse Practitioner - Psychiatric/Mental Health in Hollywood, FL
About El-shaddai Elohim Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EL-SHADDAI ELOHIM MEDICAL CENTER (NPI 1730808940) is a healthcare organization registered as a psychiatric/mental health in Hollywood, Florida and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Sherly M Boulay, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 10D2245029
El-Shaddai Elohim Medical Center · Cooper City, FLFrequently 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 El-Shaddai Elohim Medical Center's NPI number?
The NPI number for El-Shaddai Elohim Medical Center is 1730808940. It was assigned to this organization in the NPPES registry on August 23, 2022.
Where is El-Shaddai Elohim Medical Center located?
El-Shaddai Elohim Medical Center is located at 10000 Stirling Rd Ste 12, Hollywood, FL 33024. The listed phone number is (954) 815-7268.
What is El-Shaddai Elohim Medical Center's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Does El-Shaddai Elohim Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2245029) is associated with this NPI, valid through December 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 El-Shaddai Elohim Medical Center was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# El-Shaddai Elohim Medical Center · NPI 1730808940
Psychiatric/Mental Health organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since August 23, 2022.
## Identity
- **NPI:** 1730808940 (Entity type: Organization)
- **Enumerated:** August 23, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Sherly Boulay, PRESIDENT
## Practice location
- **Address:** 10000 STIRLING RD STE 12, Hollywood, FL 33024-8067
- **Phone:** (954) 815-7268
## Record status
- **NPPES last updated:** September 6, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730808940) · Data from the CMS NPPES public registry.