NPIMap

Organization Active NPI

Miami Dade Community Services Inc

  • Community/Behavioral Health Agency
  • Hallandale Beach, FL
National Provider Identifier
1417527409
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIAMI DADE COMMUNITY SERVICES INC
Practice address
2100 E Hallandale Beach Blvd Ste 306
Hallandale Beach, FL 33009-3771
Phone
(305) 631-8931
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Jose M Roig
Title
Ceo
Phone
(305) 631-8931

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2100 E Hallandale Beach Blvd Ste 306
Hallandale Beach, FL 33009-3771

Mailing address

1901 SW 1St St FL 2
Miami, FL 33135-1601
Phone (305) 631-8931

National Provider Directory

National Provider Directory
Tax ID family
Miami Dade Community Services Inc2 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.

Locations

2100 E Hallandale Beach Blvd
Ste 306
Hallandale Beach, FL 33009
Phone (305) 631-8931

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1417527409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SW 1ST ST FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351601",
            "telephone_number": "305-631-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 306",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093771",
            "telephone_number": "305-631-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DADE COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "ROIG",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-631-8931"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.