Active NPI
Tajuana Givens
- Home Health Agency
- Miramar, FL
National Provider Identifier
1063872174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 3600 S State Road 7 Ste 320
Miramar, FL 33023-5290 - Phone
- (786) 333-7922
- Fax
- (305) 402-2861
- NPI assigned
- Mar 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3600 S State Road 7 Ste 320
Miramar, FL 33023-5290
Mailing address
3600 S State Road 7 Ste 320
Miramar, FL 33023-5290
Phone (786) 333-7922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101458000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1063872174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 S STATE ROAD 7 STE 320",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330235290",
"telephone_number": "786-333-7922",
"fax_number": "305-402-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S STATE ROAD 7 STE 320",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330235290",
"telephone_number": "786-333-7922",
"fax_number": "305-402-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIVENS",
"first_name": "TAJUANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-02",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101458000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.