Organization Active NPI

Arc Professional Services, Inc

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1275584963
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
215710952 Issued in FL
Legal business name
ARC PROFESSIONAL SERVICES, INC
Practice address
14337 SW 119TH Ave
Miami, FL 33186-6006
Phone
(305) 463-5355
Fax
(305) 779-4395
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Mr. Ridel Caballero
Title
President/Administrator
Phone
(305) 463-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 215710952 FL Primary

Addresses

Primary practice location

14337 SW 119TH Ave
Miami, FL 33186-6006

Mailing address

14337 SW 119TH Ave
Miami, FL 33186-6006
Phone (305) 463-5355

Other identifiers 1

IdentifierTypeStateIssuer
650544900MedicaidFL

National Provider Directory

National Provider Directory

Locations

14337 SW 119th Ave
Miami, FL 33186
Phone (305) 463-5355

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1275584963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14337 SW 119TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866006",
            "telephone_number": "305-463-5355",
            "fax_number": "305-779-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14337 SW 119TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866006",
            "telephone_number": "305-463-5355",
            "fax_number": "305-779-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC PROFESSIONAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "RIDEL",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-463-5355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "215710952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650544900",
            "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 Aug 25, 2015; 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.