Premium Rehabilitation of Miami Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIUM REHABILITATION OF MIAMI INC

Practice address

530 W 49TH St
Hialeah, FL 33012-3605

Phone

(305) 497-2239

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Marilyn Hawkins

Title

President

Phone

(305) 495-1622

Specialties & licenses 1

Addresses

Other names 1

• ANM MENTAL HEALTH THERAPY INC Former legal business name

Locations

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1205394392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352906",
            "telephone_number": "305-987-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123605",
            "telephone_number": "305-497-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM REHABILITATION OF MIAMI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-495-1622"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANM MENTAL HEALTH THERAPY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.