Organization Active NPI

Miranda Care Center Corp

  • Community/Behavioral Health Agency
  • Lake Worth, FL
National Provider Identifier
1104428085
Registry record updated Nov 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIRANDA CARE CENTER CORP
Practice address
2555 N Dixie Hwy
Lake Worth, FL 33460-6250
Phone
(561) 541-0075
NPI assigned
Nov 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2020

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

Authorized official

Name
Arlety Pardo MirandaNPI 1043887045
Title
President
Phone
(561) 541-0075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2555 N Dixie Hwy
Lake Worth, FL 33460-6250

Mailing address

2555 N Dixie Hwy
Lake Worth, FL 33460-6250
Phone (561) 541-0075

National Provider Directory

National Provider Directory

Locations

2555 N Dixie Hwy
Lake Worth, FL 33460
Phone (561) 585-4881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605398400000",
    "number": "1104428085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 N DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606250",
            "telephone_number": "561-541-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 N DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606250",
            "telephone_number": "561-541-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA CARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A",
        "authorized_official_last_name": "PARDO MIRANDA",
        "authorized_official_first_name": "ARLETY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-541-0075"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.