NPIMap

Organization Active NPI

Da Lourdes Services Corp

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1225295082
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DA LOURDES SERVICES CORP
Practice address
15605 SW 178TH LN
Miami, FL 33187-7805
Phone
(305) 968-7525
Fax
(305) 253-3027
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Teresita MorenoNPI 1407373814
Title
Director
Phone
(305) 968-7525

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
Case Management Agency 251B00000X FL
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15605 SW 178TH LN
Miami, FL 33187-7805

Mailing address

15605 SW 178TH LN
Miami, FL 33187-7805
Phone (305) 968-7525

Other identifiers 3

IdentifierTypeStateIssuer
001878300MedicaidFL
688419996MedicaidFL
688419998MedicaidFL

National Provider Directory

National Provider Directory

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225295082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15605 SW 178TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877805",
            "telephone_number": "305-968-7525",
            "fax_number": "305-253-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15605 SW 178TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877805",
            "telephone_number": "305-968-7525",
            "fax_number": "305-253-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA LOURDES SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-968-7525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001878300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688419996",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688419998",
            "state": "FL"
        }
    ],
    "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 Jul 21, 2022; 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.