NPIMap

Organization Active NPI

Aviva Nursing Services Inc.

Doing business as Mind and Mobility

  • In Home Supportive Care Agency
  • Miami Lakes, FL
National Provider Identifier
1013575505
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AVIVA NURSING SERVICES INC.
Doing business as
Mind and Mobility
Practice address
7900 Oak Lane
Suite 400
Miami Lakes, FL 33016
Phone
(305) 889-7041
Fax
(786) 431-4061
NPI assigned
May 30, 2019
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mateo MartinezNPI 1760524847
Title
Owner
Phone
(954) 993-6299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7900 Oak Lane
Suite 400
Miami Lakes, FL 33016

Mailing address

2655 E Oakland Park Blvd
Suite 5
Fort Lauderdale, FL 33306
Phone (786) 237-8420

Other identifiers 1

IdentifierTypeStateIssuer
102011800MedicaidFL

Other names 1

  • Mind and Mobility Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1013575505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 E OAKLAND PARK BLVD",
            "address_2": "SUITE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "786-237-8420",
            "fax_number": "786-431-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 OAK LANE",
            "address_2": "SUITE 400",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-889-7041",
            "fax_number": "786-431-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA NURSING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MATEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-993-6299"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102011800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind and Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.