Organization Active NPI

Orta'S Home, Inc.

  • Adult Care Home Facility
  • Miami, FL
National Provider Identifier
1043479140
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6905079 Issued in FL
Legal business name
ORTA'S HOME, INC.
Practice address
1201 NW 35TH Avenue
Miami, FL 33125-2855
Phone
(786) 515-7715
Fax
(305) 262-3844
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Mrs. Ana Cecilia Hernandez
Title
President
Phone
(786) 515-7715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6905079 FL Primary

Addresses

Primary practice location

1201 NW 35TH Avenue
Miami, FL 33125-2855

Mailing address

1201 NW 35TH Avenue
Miami, FL 33125-2855
Phone (786) 515-7715

Other identifiers 1

IdentifierTypeStateIssuer
001054500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1043479140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NW 35TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252855",
            "telephone_number": "786-515-7715",
            "fax_number": "305-262-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW 35TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252855",
            "telephone_number": "786-515-7715",
            "fax_number": "305-262-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTA'S HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-515-7715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001054500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.