Angel CMH Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ANGEL CMH CORP

Practice address

17325 NW 27TH Ave # 206-207
Miami Gardens, FL 33056-4056

Phone

(786) 822-7270

Fax

(786) 822-7271

NPI assigned

Jul 20, 2021

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge Viera

Title

President

Phone

(786) 822-7270

Specialties & licenses 2

Addresses

Other names 1

• Angel CMH Corp Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anabel Garcia Ruiz

  • Behavior Analyst
  • Miami, FL
  • NPI 1184400426
  Medicare reassignment NPD
• Anouk Herrera, LCSW

  • Mental Health Counselor
  • Miami, FL
  • NPI 1659737559
  Medicare reassignment NPD
• Hermes Romero

  • Physical Therapist
  • Homestead, FL
  • NPI 1407365877

  Physical Therapy

  Medicare reassignment NPD
• Jorge Benito, MD

  • Psychiatry Physician
  • South Miami, FL
  • NPI 1356384606
  Medicare reassignment
• David R Tano

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1215294533
  Medicare reassignment
• Yezid A. Arango, LCSW

  • Clinical Social Worker
  • Miramar, FL
  • NPI 1700853132
  NPD
• Johanna Marrero Morales

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1154839991
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1154994929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 NW 27TH AVE # 206-207",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564056",
            "telephone_number": "786-822-7270",
            "fax_number": "786-822-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 NW 27TH AVE # 206-207",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564056",
            "telephone_number": "786-822-7270",
            "fax_number": "786-822-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CMH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "VIERA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-822-7270"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel CMH Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Angel CMH Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Adeny Andino, COTA/L
• Carolin Andino
• Althea G Andrade, PMHNP-BC
• Jorge Andujar
• Lariamnys Angel Bello Diaz
• Angel Nemt LLC
• Angels Sent Senior Care LLC
• Anita's Services Corporation
• Annie Horne Alf
• Anselmo Manuel Mendive, MD. PA.

• Community/Behavioral Health Agency in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.