Organization Active NPI

Big Bear Academy

  • Pediatric Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1366810079
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
PP29960085 Issued in FL
Legal business name
BIG BEAR ACADEMY
Practice address
9035 Sunset Dr Ste 100
Miami, FL 33173-3441
Phone
(786) 641-6858
Fax
(786) 523-7567
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Jose C. Suarez Fernandez
Title
President
Phone
(786) 641-6858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Pediatric Skilled Nursing Facility 3140N1450X PP29960085 FL Primary

Addresses

Primary practice location

9035 Sunset Dr Ste 100
Miami, FL 33173-3441

Mailing address

9035 Sunset Dr Ste 100
Miami, FL 33173-3441
Phone (786) 641-6858

National Provider Directory

National Provider Directory
Tax ID family
Big Bear Academy2 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

9035 Sunset Dr
Ste 100
Miami, FL 33173
Phone (786) 641-6858

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1366810079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 SUNSET DR STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733441",
            "telephone_number": "786-641-6858",
            "fax_number": "786-523-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 SUNSET DR STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733441",
            "telephone_number": "786-641-6858",
            "fax_number": "786-523-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEAR ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "SUAREZ FERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-641-6858"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "FL",
            "license": "PP29960085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 9, 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.