OrganizationActive
Provide 4 Inc.
NPI 1457630972 · Community/Behavioral Health Agency · Fort Lauderdale, FL
Provide 4 Inc. is a Community/Behavioral Health Agency organization in Fort Lauderdale, FL (NPI 1457630972).
Provider details
- NPI number
- 1457630972
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kacee Tannenbaum, President(954) 800-0108
- License
- SW 9879 (FL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 Ne 30th Pl
Suite 408
Fort Lauderdale, FL 33306-1928
Phone: (954) 800-0108
Street-level locationGet directions
Mailing address
3000 Ne 30th Pl
Fort Lauderdale, FL 33306-1928
Registry dates
- Enumerated
- 2011-08-15
- Last updated
- 2012-01-20
Frequently asked questions
- What is Provide 4 Inc.'s NPI number?
- Provide 4 Inc.'s National Provider Identifier (NPI) is 1457630972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provide 4 Inc.?
- Provide 4 Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Provide 4 Inc. located?
- Provide 4 Inc.'s practice location on file with NPPES is 3000 Ne 30th Pl, Fort Lauderdale, FL 33306-1928.
- What is Provide 4 Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Provide 4 Inc. is (954) 800-0108.
- Who is the authorized official for Provide 4 Inc.?
- The authorized official listed on Provide 4 Inc.'s NPPES record is Kacee Tannenbaum, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provide 4 Inc.'s NPI active?
- Yes — Provide 4 Inc.'s NPI (1457630972) is active in the NPPES registry as of the last update on 2012-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.