St Jude Home, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7863 Issued in FL

Legal business name

ST JUDE HOME, INC

Practice address

9981 SW 42ND Ter
Miami, FL 33165-5044

Phone

(305) 220-4335

Fax

(305) 220-4335

NPI assigned

Nov 13, 2010

Last updated

Dec 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mirta M Dearmas

Title

Owner/Administrator

Phone

(305) 220-4335

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1366743908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9981 SW 42ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655044",
            "telephone_number": "305-220-4335",
            "fax_number": "305-220-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 SW 42ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655044",
            "telephone_number": "305-220-4335",
            "fax_number": "305-220-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-13",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "DEARMAS",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-220-4335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142126300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Alban's Day Nursery Inc (St Alban's Child Enrichment Center)
• St George Health Partners Corp
• Marcus St John, MD
• St Jude Adult Day Care LLC
• St Jude Home Health Care Corp
• St Jude Med and Rehab Care Inc
• St Jude Medical Center Inc
• St Jude Medical Equipment Corp
• St Jude Medical Group Corp (Vidamax Medical Center)
• St Jude Medical Group Corp (Vidamax Medical Center)

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.