Seniors Care Mental Services Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SENIORS CARE MENTAL SERVICES CORP

Practice address

1515 NW 167TH St Ste 170
Miami Gardens, FL 33169-5145

Phone

(786) 332-0041

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Luis Rafael Perozo

Title

President

Phone

(786) 332-0041

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariosca Barboza Bravo

  • Case Manager/Care Coordinator
  • Davie, FL
  • NPI 1134843584
  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1366035222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15506 SW 9TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942415",
            "telephone_number": "786-332-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NW 167TH ST STE 170",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695145",
            "telephone_number": "786-332-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS CARE MENTAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "PEROZO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-332-0041"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Miami Gardens, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.