Organization Active NPI

Collado Home Care Services Inc

  • In Home Supportive Care Agency
  • Miami Lakes, FL
National Provider Identifier
1114556396
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COLLADO HOME CARE SERVICES INC
Practice address
15315 NW 60TH Ave Ste E
Miami Lakes, FL 33014-2440
Phone
(786) 603-3296
Fax
(786) 408-5854
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Irys Collado ColladoNPI 1356903819
Title
Ceo
Phone
(786) 603-3296

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
In Home Supportive Care Agency 253Z00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

15315 NW 60TH Ave Ste E
Miami Lakes, FL 33014-2440

Mailing address

15315 NW 60TH Ave Ste E
Miami Lakes, FL 33014-2440
Phone (786) 603-3296

National Provider Directory

National Provider Directory

Locations

15315 NW 60th Ave
Ste E
Miami Lakes, FL 33014
Phone (786) 277-1307

Practitioners & affiliated clinicians

Practitioners 2

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": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1114556396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 NW 60TH AVE STE E",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142440",
            "telephone_number": "786-603-3296",
            "fax_number": "786-408-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 NW 60TH AVE STE E",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142440",
            "telephone_number": "786-603-3296",
            "fax_number": "786-408-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLADO HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "COLLADO COLLADO",
        "authorized_official_first_name": "IRYS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-603-3296"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.