Organization Active NPI

Antaeus Health Services, Corp.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1093869273
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299991821 Issued in FL
Legal business name
ANTAEUS HEALTH SERVICES, CORP.
Practice address
7333 Coral Way
Suite 109
Miami, FL 33155-1402
Phone
(305) 500-9697
Fax
(305) 500-9994
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. Marcos Reta
Title
Administrator & Owner
Phone
(305) 500-9697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299991821 FL Primary

Addresses

Primary practice location

7333 Coral Way
Suite 109
Miami, FL 33155-1402

Mailing address

7333 Coral Way
Suite 109
Miami, FL 33155-1402
Phone (305) 500-9697

Other identifiers 3

IdentifierTypeStateIssuer
HHA299991821OtherFLHOME HEALTH AGENCY
651030200OtherFLMEDICAID PROVIDER NUMBER
10-8058OtherFLPROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

8220 Coral Way
Miami, FL 33155
Phone (305) 500-9697

7333 Coral Way
Ste 109
Miami, FL 33155
Phone (305) 500-9697

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1093869273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 CORAL WAY",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551402",
            "telephone_number": "305-500-9697",
            "fax_number": "305-500-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 CORAL WAY",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551402",
            "telephone_number": "305-500-9697",
            "fax_number": "305-500-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTAEUS HEALTH SERVICES, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "RETA",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "ADMINISTRATOR & OWNER",
        "authorized_official_telephone_number": "305-500-9697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "HHA299991821",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "651030200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "10-8058",
            "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 21, 2012; 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.