West Dixie Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

800006324 Issued in FL

Legal business name

WEST DIXIE CARE, LLC

Doing business as

Watercrest Care Center

Practice address

16650 W Dixie Hwy
North Miami Beach, FL 33160-3713

Phone

(305) 945-7447

Fax

(305) 945-7278

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Gilda Anderson

Title

Administrator

Phone

(305) 945-7447

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Watercrest Care Center Doing business as

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1144219817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 W DIXIE HWY",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603713",
            "telephone_number": "305-945-7447",
            "fax_number": "305-945-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 W DIXIE HWY",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331603713",
            "telephone_number": "305-945-7447",
            "fax_number": "305-945-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DIXIE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-945-7447"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "800006324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031040900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watercrest Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.