Active NPI
Princeton Long Term Care LLC
- Attendant Care Provider
- Miami, FL
National Provider Identifier
1265194922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- PRINCETON LONG TERM CARE LLC
- Practice address
- 13590 SW 134TH Ave Ste 106
Miami, FL 33186-4575 - Phone
- (305) 548-2228
- Fax
- (305) 548-2228
- NPI assigned
- Oct 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Rodriguez
- Title
- VP
- Phone
- (305) 548-2228
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
13590 SW 134TH Ave Ste 106
Miami, FL 33186-4575
Mailing address
13590 SW 134TH Ave Ste 106
Miami, FL 33186-4575
Phone (305) 548-2228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114494000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
13590 SW 134th Ave
Ste 106
Miami, FL 33186
Phone (305) 548-2228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662940800000",
"number": "1265194922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13590 SW 134TH AVE STE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864575",
"telephone_number": "305-548-2228",
"fax_number": "786-329-6765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13590 SW 134TH AVE STE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864575",
"telephone_number": "305-548-2228",
"fax_number": "305-548-2228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCETON LONG TERM CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-11",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "305-548-2228"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114494000",
"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 Sep 12, 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.