Active NPI
Yosvany Perez
- Adult Care Home Facility
- Hollywood, FL
National Provider Identifier
1245449974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6905826
- Practice address
- 3521 SW 38TH St
Hollywood, FL 33023-6356 - Phone
- (954) 893-6093
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6905826 | FL | Primary |
Addresses
Primary practice location
3521 SW 38TH St
Hollywood, FL 33023-6356
Mailing address
3521 SW 38TH St
Hollywood, FL 33023-6356
Phone (954) 893-6093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142302900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6905826 | FL | MD | Adult Care Home Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Health Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327708800000",
"number": "1245449974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 SW 38TH ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330236356",
"telephone_number": "954-893-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 SW 38TH ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330236356",
"telephone_number": "954-893-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "YOSVANY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2012-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6905826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142302900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.