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Organization

Holistic Health Care Management

NPI Record: ActiveRegistered Nurse
NPI1083092456
Lauderdale Lakes, Florida

Provider's NPPES record last updated: May 18, 2015

Overview

Entity Type
Organization
NPI
1083092456
Primary Specialty
Registered Nurse
Practice Location
Lauderdale Lakes, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 8:49 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Registered Nurse

    Nursing Service Providers

    Primary

    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

    Taxonomy code 163W00000X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X
  • Assisted Living Facility

    Nursing & Custodial Care Facilities

    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.

    Taxonomy code 310400000X
  • Assisted Living Facility

    Assisted Living, Mental Illness

    Nursing & Custodial Care Facilities

    A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

    Taxonomy code 3104A0625X
  • Assisted Living Facility

    Assisted Living, Behavioral Disturbances

    Nursing & Custodial Care Facilities

    A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

    Taxonomy code 3104A0630X
  • Nursing Facility/Intermediate Care Facility

    Nursing & Custodial Care Facilities

    An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

    Taxonomy code 313M00000X
  • Skilled Nursing Facility

    Nursing & Custodial Care Facilities

    (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

    Taxonomy code 314000000X
  • Skilled Nursing Facility

    Nursing Care, Pediatric

    Nursing & Custodial Care Facilities

    A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

    Taxonomy code 3140N1450X
  • Residential Treatment Facility, Intellectual and/or Developmental Disabilities

    Residential Treatment Facilities

    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

    Taxonomy code 320600000X
  • Residential Treatment Facility, Physical Disabilities

    Residential Treatment Facilities

    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

    Taxonomy code 320700000X
  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

    Residential Treatment Facilities

    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

    Taxonomy code 320900000X
  • Residential Treatment Facility, Emotionally Disturbed Children

    Residential Treatment Facilities

    A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

    Taxonomy code 322D00000X
  • Substance Abuse Rehabilitation Facility

    Residential Treatment Facilities

    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

    Taxonomy code 324500000X
  • Substance Abuse Rehabilitation Facility

    Substance Abuse Treatment, Children

    Residential Treatment Facilities

    A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

    Taxonomy code 3245S0500X
  • Respite Care

    Respite Care, Intellectual and/or Developmental Disabilities, Child

    Respite Care Facility

    A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

    Taxonomy code 385HR2060X

Practice Locations

Practice Location

3465 Nw 43rd Pl

Lauderdale Lakes, Florida 33309-4240

Phone: (954) 625-4772

Record Information

Enumeration Date
May 18, 2015
Provider's NPPES Record Last Updated
May 18, 2015
NPISignal NPPES Dataset
August 2026

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