Hospital of South Beach LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

HOSPITAL OF SOUTH BEACH LLC

Doing business as

Hospital of South Beach

Practice address

630 Alton Rd
Miami Beach, FL 33139-5502

Phone

(305) 538-9418

Fax

(305) 598-9418

NPI assigned

Nov 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Edward Rourke, LCSW

Title

Chief Executive Officer, VP

Phone

(940) 320-8100

Specialties & licenses 1

Addresses

Other names 1

• Hospital of South Beach Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407921455. Details of each certification follow.

• CCN 100172 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 100172

Legal name

SOUTH BEACH COMMUNITY HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Feb 28, 2006

Provider type (POS)

Hospital – Short-term

Participating since

May 29, 1968

Last certification

Dec 13, 2005

Beds

196

Ownership / control type

Private (for profit)

Most recent change of ownership

Mar 1, 2005 (1 total)

Facility address

630 Alton Rd
Miami Beach, FL 33139

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407921455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 W UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762010644",
            "telephone_number": "940-320-8100",
            "fax_number": "940-320-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395502",
            "telephone_number": "305-538-9418",
            "fax_number": "305-598-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL OF SOUTH BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROURKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER, VP",
        "authorized_official_telephone_number": "940-320-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital of South Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Acute Care Hospital in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.