Active NPI
Med Pro Home Health Care Consultants, LLC.
- Home Health Agency
- North Miami, FL
National Provider Identifier
1376562520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299992399
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299992399 | Other | FL | AHCA LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.