Organization Active NPI

Eternity Life Home Health Care, Inc

  • Home Health Agency
  • Miami Lakes, FL
National Provider Identifier
1275727398
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ETERNITY LIFE HOME HEALTH CARE, INC
Practice address
5785A NW 151St St
Miami Lakes, FL 33014-2490
Phone
(305) 821-1115
Fax
(786) 400-2619
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Mrs. Rosa M Baez
Title
Administrator/Owner
Phone
(305) 821-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5785A NW 151St St
Miami Lakes, FL 33014-2490

Mailing address

5785A NW 151St St
Miami Lakes, FL 33014-2490
Phone (305) 821-1115

National Provider Directory

National Provider Directory

Locations

5785A NW 151st St
Miami Lakes, FL 33014
Phone (305) 821-1115

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1275727398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785A NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142490",
            "telephone_number": "305-821-1115",
            "fax_number": "786-400-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785A NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142490",
            "telephone_number": "305-821-1115",
            "fax_number": "786-400-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY LIFE HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "305-821-1115",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.