Organization Active NPI

Estevez Home Care

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1245621820
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11452 Issued in FL
Legal business name
ESTEVEZ HOME CARE
Practice address
3900 SW 122 Ave
Miami, FL 33175-3019
Phone
(305) 381-5233
Fax
(305) 456-8826
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Ms. Omayda Estevez
Title
President
Phone
(305) 744-2497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11452 FL Primary

Addresses

Primary practice location

3900 SW 122 Ave
Miami, FL 33175-3019

Mailing address

3900 SW 122 Ave
Miami, FL 33175-3019
Phone (305) 381-5233

Other identifiers 1

IdentifierTypeStateIssuer
014437700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1245621820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SW 122 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753019",
            "telephone_number": "305-381-5233",
            "fax_number": "305-456-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SW 122 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753019",
            "telephone_number": "305-381-5233",
            "fax_number": "305-456-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTEVEZ HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "OMAYDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-744-2497",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014437700",
            "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 1, 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.