NPIMap

Organization Active NPI

Martha Rivera

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1376910588
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
229690 Issued in FL
Legal business name
MARTHA RIVERA
Practice address
6257 SW 150TH Path
Miami, FL 33193-2742
Phone
(786) 543-7677
Fax
(305) 482-6359
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Mrs. Martha Rivera
Title
President
Phone
(786) 543-7677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 229690 FL Primary

Addresses

Primary practice location

6257 SW 150TH Path
Miami, FL 33193-2742

Mailing address

6257 SW 150TH Path
Miami, FL 33193-2742
Phone (786) 543-7677

Other identifiers 3

IdentifierTypeStateIssuer
689423296MedicaidFL
229690OtherAHCA
689423298MedicaidFL

Other names 1

  • Miami Home and Community Support Services Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martha Rivera2 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.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1376910588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6257 SW 150TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932742",
            "telephone_number": "786-543-7677",
            "fax_number": "305-482-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 SW 150TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932742",
            "telephone_number": "786-543-7677",
            "fax_number": "305-482-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-543-7677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "229690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689423296",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "229690",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689423298",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Home and Community Support Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 24, 2015; 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.