Active NPI
Venecia Medical Center LLC
- Case Management Agency
- Hialeah, FL
National Provider Identifier
1073147260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- VENECIA MEDICAL CENTER LLC
- Practice address
- 5890 W 20TH Ave
Hialeah, FL 33016-2656 - Phone
- (239) 202-8998
- Fax
- (239) 471-0454
- NPI assigned
- Feb 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Claudia Del Pino
- Title
- Manager
- Phone
- (786) 326-2667
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
5890 W 20TH Ave
Hialeah, FL 33016-2656
Mailing address
6300 Corporate CT
Fort Myers, FL 33919-3513
Phone (772) 237-0712
National Provider Directory
National Provider Directory- Tax ID family
- Venecia Medical Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Hialeah, FL
- NPI 1619642543
Locations
6300 Corporate Ct
Fort Myers, FL 33919
Phone (239) 437-8386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645056000000",
"number": "1073147260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 CORPORATE CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193513",
"telephone_number": "772-237-0712",
"fax_number": "239-471-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5890 W 20TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330162656",
"telephone_number": "239-202-8998",
"fax_number": "239-471-0454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENECIA MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "DEL PINO",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "786-326-2667",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 17, 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.