Organization Active NPI

MG Care, LLC

  • Social Worker
  • Miami, FL
National Provider Identifier
1174942536
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MG CARE, LLC
Practice address
175 Fontainebleau Blvd Ste 1R10
Miami, FL 33172-4511
Phone
(305) 909-9104
Fax
(813) 567-2400
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Mr. Maximillian Adrian Garcia, BANPI 1346566825
Title
President
Phone
(305) 343-0673

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 1R10
Miami, FL 33172-4511

Mailing address

1600 SW 145TH Ave
Miami, FL 33175-7469
Phone (305) 343-0673

Other names 1

  • MG Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MG Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

175 Fontainebleau Blvd
Ste 1R10
Miami, FL 33172
Phone (305) 479-8611

18503 Pines Blvd
Ste 302
Pembroke Pines, FL 33029

Practitioners & affiliated clinicians

Practitioners 1

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": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1174942536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW 145TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757469",
            "telephone_number": "305-343-0673",
            "fax_number": "813-567-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1R10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "305-909-9104",
            "fax_number": "813-567-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MAXIMILLIAN",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-343-0673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MG Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MG Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2020; 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.