Age Defying Experts South Florida LLC
NPI 1588250948 · Adult Mental Health Clinic/Center · Coconut Creek, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Age Defying Experts South Florida LLC is a Adult Mental Health Clinic/Center organization in Coconut Creek, FL (NPI 1588250948).
Provider details
- NPI number
- 1588250948
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniela Chetan, Nurse Practitioner(786) 505-4423
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Other names (DBA / former)
- Doing business as
- Age Defying Experts South Florida
- Doing business as
- Age Defying Experts South Florida
Registry dates
- Enumerated
- 2020-12-18
- Last updated
- 2024-10-31
- Certified
- 2024-10-24
Frequently asked questions
- What is Age Defying Experts South Florida LLC's NPI number?
- Age Defying Experts South Florida LLC's National Provider Identifier (NPI) is 1588250948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Age Defying Experts South Florida LLC?
- Age Defying Experts South Florida LLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Age Defying Experts South Florida LLC located?
- Age Defying Experts South Florida LLC's practice location on file with NPPES is 5379 Lyons Rd # 1599, Coconut Creek, FL 33073-2810.
- What is Age Defying Experts South Florida LLC's phone number?
- The practice phone number listed in the NPPES registry for Age Defying Experts South Florida LLC is (786) 505-4423.
- Does Age Defying Experts South Florida LLC accept Medicare?
- Age Defying Experts South Florida LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Age Defying Experts South Florida LLC?
- The authorized official listed on Age Defying Experts South Florida LLC's NPPES record is Daniela Chetan, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Age Defying Experts South Florida LLC's NPI active?
- Yes — Age Defying Experts South Florida LLC's NPI (1588250948) is active in the NPPES registry as of the last update on 2024-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.