NPIMap

Organization Active NPI

Zion Health Care LLC

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1023398310
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZION HEALTH CARE LLC
Practice address
2100 W 76TH St FL 5
Hialeah, FL 33016-5539
Phone
(786) 536-9719
Fax
(786) 536-9847
NPI assigned
Aug 18, 2011
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Julietta Marrero, LMHCNPI 1245507607
Title
Registered Agent
Phone
(786) 536-9719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2100 W 76TH St FL 5
Hialeah, FL 33016-5539

Mailing address

1470 N.W. 107 Ave
Suite G
Miami, FL 33172
Phone (786) 536-9719

Other identifiers 1

IdentifierTypeStateIssuer
020002400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170629001553 FL Part B Supplier - Clinic/Group Practice 8224307517 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Hialeah, FL; Miami, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Zion Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1023398310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 N.W. 107 AVE",
            "address_2": "SUITE G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "786-536-9719",
            "fax_number": "786-536-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST FL 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "786-536-9719",
            "fax_number": "786-536-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "JULIETTA",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "786-536-9719",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020002400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.