Organization Active NPI

Healthamerica Rehab Center of Wauchula LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Miami, FL
National Provider Identifier
1184730798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
HEALTHAMERICA REHAB CENTER OF WAUCHULA LLC
Practice address
833 SW 29TH Ave
Suite a
Miami, FL 33135-4551
Phone
(305) 643-0030
Fax
(305) 643-0431
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Mayra Cabrera
Title
President
Phone
(704) 302-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

833 SW 29TH Ave
Suite a
Miami, FL 33135-4551

Mailing address

833 SW 29TH Ave
Suite a
Miami, FL 33135-4551
Phone (305) 643-0030

National Provider Directory

National Provider Directory

Locations

833 SW 29th Ave
Ste A
Miami, FL 33135
Phone (305) 643-0030

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184730798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SW 29TH AVE",
            "address_2": "SUITE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354551",
            "telephone_number": "305-643-0030",
            "fax_number": "866-556-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SW 29TH AVE",
            "address_2": "SUITE A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354551",
            "telephone_number": "305-643-0030",
            "fax_number": "305-643-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHAMERICA REHAB CENTER OF WAUCHULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-302-1997",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.