Organization Active NPI

MC Quality Support, Inc

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1326493149
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MC QUALITY SUPPORT, INC
Practice address
13550 SW 88TH St Ste 270a
Miami, FL 33186-1513
Phone
(786) 398-0187
NPI assigned
Apr 29, 2016
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Marlene Carrion CruzNPI 1225884257
Title
C.E.O
Phone
(786) 398-0187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU
Developmental Disabilities Clinic/Center 261QD1600X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

13550 SW 88TH St Ste 270a
Miami, FL 33186-1513

Mailing address

13550 SW 88TH St Ste 270a
Miami, FL 33186-1513
Phone (786) 398-0187

Other identifiers 4

IdentifierTypeStateIssuer
021946900OtherFLHOME AND COMMUNITY BASED SERVICES WAIVER
30212396OtherFLNURSE REGISTRY LICENSE
238703OtherFLHOMEMAKER AND COMPANION LICENSE
019349400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MCQUALITYSUPPORTINC

National Provider Directory

National Provider Directory
Tax ID family
MC Quality Support Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13550 SW 88th St
Ste 270A
Miami, FL 33186
Phone (786) 398-0187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1326493149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 SW 88TH ST STE 270A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861513",
            "telephone_number": "786-398-0187",
            "fax_number": "305-456-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 SW 88TH ST STE 270A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861513",
            "telephone_number": "786-398-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC QUALITY SUPPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CARRION CRUZ",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "786-398-0187"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME AND COMMUNITY BASED SERVICES WAIVER",
            "identifier": "021946900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE REGISTRY LICENSE",
            "identifier": "30212396",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER AND COMPANION LICENSE",
            "identifier": "238703",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019349400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MCQUALITYSUPPORTINC",
            "affiliation": "N",
            "address_1": "13550 SW 88th St Ste 270A",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331861513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 29, 2023; 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.