Maly'S Special Support Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MALY'S SPECIAL SUPPORT INC

Practice address

2646 NW 21 Terr
Miami, FL 33142

Phone

(786) 523-4197

Fax

(305) 635-2328

NPI assigned

Feb 28, 2011

Organization subpart

No

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

Authorized official

Name

Malika Berroa

Title

Owner

Phone

(786) 338-3304

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1225336266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420793",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33242",
            "telephone_number": "786-338-3304",
            "fax_number": "786-717-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 NW 21 TERR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "786-523-4197",
            "fax_number": "305-635-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALY'S SPECIAL SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "BERROA",
        "authorized_official_first_name": "MALIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-338-3304"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691763196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Miami, FL
• Providers in Miami, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.