Organization Active NPI

Princeton Long Term Care LLC

  • Attendant Care Provider
  • Miami, FL
National Provider Identifier
1265194922
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
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

Updated by the provider on Sep 12, 2022

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
114494000MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.