Organization Active NPI

South Florida Home Care Group Corp

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1104010644
Registry record updated Apr 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992853 Issued in FL
Legal business name
SOUTH FLORIDA HOME CARE GROUP CORP
Practice address
3408 W 84TH St Ste 117B
Hialeah, FL 33018-4941
Phone
(786) 900-0087
Fax
(786) 900-0088
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2009

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

Authorized official

Name
Alina M. De Varona, R.N.
Title
Administrator/D.O.N.
Phone
(786) 900-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992853 FL Primary

Addresses

Primary practice location

3408 W 84TH St Ste 117B
Hialeah, FL 33018-4941

Mailing address

3408 W 84TH St Ste 117B
Hialeah, FL 33018-4941
Phone (786) 900-0087

Other identifiers 2

IdentifierTypeStateIssuer
299992853OtherFLAHCA
299992853OtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

3408 W 84th St
Ste 117B
Hialeah, FL 33018
Phone (786) 900-0087

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240012800000",
    "number": "1104010644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 117B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184941",
            "telephone_number": "786-900-0087",
            "fax_number": "786-900-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 117B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184941",
            "telephone_number": "786-900-0087",
            "fax_number": "786-900-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA HOME CARE GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2009-04-18",
        "status": "A",
        "authorized_official_last_name": "DE VARONA",
        "authorized_official_first_name": "ALINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR/D.O.N.",
        "authorized_official_telephone_number": "786-900-0087",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299992853",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "299992853",
            "state": "FL"
        }
    ],
    "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 Apr 18, 2009; 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.