Organization Active NPI

Ellada Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1417534413
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELLADA CARE LLC
Practice address
175 Fontainebleau Blvd Ste 1R4
Miami, FL 33172-7012
Phone
(877) 327-1337
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Daniel Santos
Title
MGR
Phone
(877) 327-1337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 1R4
Miami, FL 33172-7012

Mailing address

175 Fontainebleau Blvd Ste 1R4
Miami, FL 33172-7012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1417534413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1R4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1R4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727012",
            "telephone_number": "877-327-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLADA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "877-327-1337"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 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.