Active NPI
Healthy Living Care LLC
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1417770694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEALTHY LIVING CARE LLC
- Practice address
- 11890 SW 8TH St Ste 404
Miami, FL 33184-1710 - Phone
- (786) 285-5803
- NPI assigned
- Nov 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Desiree Abraham, APRN
- Title
- Ceo
- Phone
- (786) 285-5803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
11890 SW 8TH St Ste 404
Miami, FL 33184-1710
Mailing address
15120 SW 33Rd Ter
Miami, FL 33185-4915
Phone (786) 285-5803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241111003362 | FL | Part B Supplier - Clinic/Group Practice | 8426582636 | Practice locations: Miami, FL |
National Provider Directory
National Provider DirectoryLocations
11890 SW 8th St
Ste 404
Miami, FL 33184
Phone (305) 223-3600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1417770694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15120 SW 33RD TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854915",
"telephone_number": "786-285-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11890 SW 8TH ST STE 404",
"city": "MIAMI",
"state": "FL",
"postal_code": "331841710",
"telephone_number": "786-285-5803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIVING CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "DESIREE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-285-5803",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Healthy Life Home Care, Inc
- Healthy Life Medical Center Inc
- Healthy Life Medical Group
- Healthy Life Physical Therapy Center LLC
- Healthy Lives Mental Health Corp
- Healthy Living Home Health Care Inc
- Healthy MD Clinical, LLC F/K/a Independent Medical Group, LLC
- Healthy Mind Care LLC
- Healthy Minds CMHC Inc
- Healthy Minds Community Mental Wellness Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.