Organization Active NPI

Maria Home Care Corp.

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1417295924
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11054 Issued in FL
Legal business name
MARIA HOME CARE CORP.
Practice address
14615 SW 288TH St
Homestead, FL 33033-1617
Phone
(786) 349-5589
Fax
(786) 349-5589
NPI assigned
Jan 18, 2013
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Ana Mellis Garcia
Title
Owner
Phone
(786) 413-6183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11054 FL Primary

Addresses

Primary practice location

14615 SW 288TH St
Homestead, FL 33033-1617

Mailing address

14615 SW 288TH St
Homestead, FL 33033-1617
Phone (786) 349-5589

Other identifiers 1

IdentifierTypeStateIssuer
000737600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1417295924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 SW 288TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331617",
            "telephone_number": "786-349-5589",
            "fax_number": "786-349-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 SW 288TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331617",
            "telephone_number": "786-349-5589",
            "fax_number": "786-349-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA HOME CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MELLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-413-6183"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000737600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.