West Dade Family Care Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11458 Issued in FL

Legal business name

WEST DADE FAMILY CARE CORP

Practice address

4585 SW 159TH CT
Miami, FL 33185-3807

Phone

(305) 553-8008

Fax

(305) 553-8008

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Diosdado Gutierrez

Title

President

Phone

(305) 553-8008

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1174752893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 SW 159TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853807",
            "telephone_number": "305-553-8008",
            "fax_number": "305-553-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 SW 159TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853807",
            "telephone_number": "305-553-8008",
            "fax_number": "305-553-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DADE FAMILY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "DIOSDADO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-553-8008"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000579800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Center Point Inc
• West Coast Therapy and Rehabilitation Center Inc
• West Coast University
• West Dade Community Health Centers, Inc.
• West Dade Community Health Choice Inc
• West Dade Home Care Services Inc
• West Dade Med-Supply Inc.
• West Dade Medical Center Inc
• West Dade Pediatrics LLP
• West Dade Surgery Center,Inc

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.