Organization Active NPI

Med Pro Home Health Care Consultants, LLC.

  • Home Health Agency
  • North Miami, FL
National Provider Identifier
1376562520
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992399 Issued in FL
Legal business name
MED PRO HOME HEALTH CARE CONSULTANTS, LLC.
Practice address
1065 NE 125TH St
Suite 100
North Miami, FL 33161-5821
Phone
(305) 400-4818
Fax
(305) 400-4824
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Ms. Vivian O Gonzalez, RN
Title
Adminstrator
Phone
(305) 400-4818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992399 FL Primary

Addresses

Primary practice location

1065 NE 125TH St
Suite 100
North Miami, FL 33161-5821

Mailing address

1065 NE 125TH St
Suite 100
North Miami, FL 33161-5821
Phone (305) 400-4818

Other identifiers 1

IdentifierTypeStateIssuer
299992399OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

1065 NE 125th St
Ste 322
North Miami, FL 33161
Phone (305) 892-7400

1065 NE 125th St
Ste 100
North Miami, FL 33161
Phone (305) 400-4818

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1376562520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST",
            "address_2": "SUITE 100",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615821",
            "telephone_number": "305-400-4818",
            "fax_number": "305-400-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST",
            "address_2": "SUITE 100",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615821",
            "telephone_number": "305-400-4818",
            "fax_number": "305-400-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PRO HOME HEALTH CARE CONSULTANTS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "305-400-4818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "299992399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.