NPIMap

Organization Active NPI

Miami-Dade County Community Action and Human Services Department

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1154749778
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
312 Issued in FL
Legal business name
MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
Practice address
60 NE 166TH St
Miami, FL 33162-3440
Phone
(305) 940-0075
Fax
(305) 944-7953
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mrs. Edeline Beauvais Mondestin, RN, BSN
Title
Acting Chief, Elderly Services
Phone
(786) 469-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 312 FL Primary

Addresses

Primary practice location

60 NE 166TH St
Miami, FL 33162-3440

Mailing address

60 NE 166TH St
Miami, FL 33162-3440
Phone (305) 940-0075

Other identifiers 1

IdentifierTypeStateIssuer
670671100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Miami Dade Fire Dept16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

60 NE 166th St
Miami, FL 33162
Phone (305) 940-0075

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1154749778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NE 166TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623440",
            "telephone_number": "305-940-0075",
            "fax_number": "305-944-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NE 166TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623440",
            "telephone_number": "305-940-0075",
            "fax_number": "305-944-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "MONDESTIN",
        "authorized_official_first_name": "EDELINE",
        "authorized_official_middle_name": "BEAUVAIS",
        "authorized_official_title_or_position": "ACTING CHIEF, ELDERLY SERVICES",
        "authorized_official_telephone_number": "786-469-4600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670671100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.