Organization Active NPI

Mimas Care Inc

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1033576707
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIMAS CARE INC
Practice address
53 W 21St St Ste 10
Hialeah, FL 33010
Phone
(786) 655-0182
Fax
(786) 364-1492
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mrs. Maria Diaz Fonseca
Title
President
Phone
(786) 307-3759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

53 W 21St St Ste 10
Hialeah, FL 33010

Mailing address

12892 SW 12TH Ter
Miami, FL 33184-2245
Phone (786) 307-3759

Other practice location 1

4066 Evans Ave Ste 10
Fort Myers, FL 33901-9354
Phone (239) 895-5629

Other practice location 2

4066 Evans Ave Ste 10
Fort Myers, FL 33901-9354
Phone (239) 895-5629

National Provider Directory

National Provider Directory

Locations

4066 Evans Ave
Ste 10
Fort Myers, FL 33901
Phone (239) 895-5629

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1033576707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12892 SW 12TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842245",
            "telephone_number": "786-307-3759",
            "fax_number": "786-364-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W 21ST ST STE 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "786-655-0182",
            "fax_number": "786-364-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4066 Evans Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339019354",
            "country_code": "US",
            "telephone_number": "239-895-5629",
            "fax_number": "786-364-1492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4066 Evans Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339019354",
            "country_code": "US",
            "telephone_number": "239-895-5629",
            "fax_number": "786-364-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIMAS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ FONSECA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-307-3759",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2019; 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.