Organization Active NPI

Samy Nursing Corp

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1306904602
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992574 Issued in FL
Legal business name
SAMY NURSING CORP
Practice address
4980 Palm Ave
Hialeah, FL 33012-3726
Phone
(305) 828-1396
Fax
(305) 825-1963
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Mr. Ernesto Diaz
Title
President
Phone
(305) 828-1396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992574 FL Primary

Addresses

Primary practice location

4980 Palm Ave
Hialeah, FL 33012-3726

Mailing address

4980 Palm Ave
Hialeah, FL 33012-3726
Phone (305) 828-1396

Other identifiers 1

IdentifierTypeStateIssuer
299992574OtherFLAHCA

National Provider Directory

National Provider Directory

Locations

4980 Palm Ave
Hialeah, FL 33012
Phone (305) 512-0080

4234 W 16th Ave
Hialeah, FL 33012
Phone (305) 828-1396

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1306904602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123726",
            "telephone_number": "305-828-1396",
            "fax_number": "305-825-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123726",
            "telephone_number": "305-828-1396",
            "fax_number": "305-825-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMY NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-828-1396",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299992574",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.