Active NPI
Miranda Care Center Corp
- Community/Behavioral Health Agency
- Lake Worth, FL
National Provider Identifier
1104428085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arlety Pardo Miranda
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Behavior Technician
- Lake Worth, FL
- NPI 1043887045
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.