Catholic Charities of the Archdiocese of Miami, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MIAMI, INC.

Practice address

1503 NE 26TH St
Wilton Manors, FL 33305-1323

Phone

(954) 630-9501

Fax

(954) 567-0656

NPI assigned

Oct 14, 2019

Organization subpart

Yes

Parent organization

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MIAMI, INC.As reported in NPPES

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

Authorized official

Name

Devika Austin

Title

Chief Administrative Officer

Phone

(954) 315-2602

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilton Manors Adult Day Care Center Doing business as

Tax ID family

Catholic Charities of the Archdiocese of Miami Inc3 organizations share this tax ID, including this one

Part of

Catholic Charities of the Archdiocese of Miami Inc

Other organizations with this tax ID 2

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

• Catholic Charities of the Archdiocese of Miami, Inc.

  • Adult Day Care Clinic/Center
  • Davie, FL
  • NPI 1578881876
  NPD tax ID
• Catholic Charities of the Archdiocese of Miami, Inc.

  • Substance Abuse Rehabilitation Facility
  • Miami, FL
  • NPI 1952486219
  NPD tax ID

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1376185058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051323",
            "telephone_number": "954-630-9501",
            "fax_number": "954-567-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051323",
            "telephone_number": "954-630-9501",
            "fax_number": "954-567-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MIAMI, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MIAMI, INC.",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "DEVIKA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "954-315-2602"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670661400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilton Manors Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Care Resource Community Health Centers, Inc
• Care Resource Community Health Centers, Inc
• Care Resource Community Health Centers, Inc
• Karen Patricia Carroll, OPTICIAN
• Andre Caruso, PSYD
• Allison Cavanaugh
• Kenel Cazeau, D.C.
• Jason Ceavers, MD
• John Chaffin, ED.D.
• Kensy Chavez, APRN FNP-C

• All providers in Wilton Manors, FL
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.