Active NPI
Palmetto Senior Care Inc.
- Assisted Living Facility
- Hialeah, FL
National Provider Identifier
1083859128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9143
- Legal business name
- PALMETTO SENIOR CARE INC.
- Practice address
- 3157 W. 78TH PL
Hialeah, FL 33016 - Phone
- (305) 934-8770
- Fax
- (305) 816-9996
- NPI assigned
- Dec 3, 2008
- Last updated
- Dec 3, 2008
- 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
- Ms. Carmen De la Mata
- Title
- Administrator
- Phone
- (305) 934-8770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL9143 | FL | Primary |
Addresses
Primary practice location
3157 W. 78TH PL
Hialeah, FL 33016
Mailing address
6791 Royal Melbourne Dr.
Hialeah, FL 33015
Phone (305) 934-8770
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1083859128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6791 ROYAL MELBOURNE DR.",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33015",
"telephone_number": "305-934-8770",
"fax_number": "305-816-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3157 W. 78TH PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33016",
"telephone_number": "305-934-8770",
"fax_number": "305-816-9996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO SENIOR CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-03",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "DE LA MATA",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-934-8770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL9143",
"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 Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.