Salem Nursing & Rehab Center of Homestead Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF12410952 Issued in FL

Legal business name

SALEM NURSING & REHAB CENTER OF HOMESTEAD MANOR

Practice address

1330 NW 1St Ave
Homestead, FL 33030-4212

Phone

(305) 248-0271

Fax

(305) 248-7654

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Missy Somers

Title

Business Office MGR

Phone

(305) 270-7041

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homestead Manor Doing business as

Locations

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1427044635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NW 1ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304212",
            "telephone_number": "305-248-0271",
            "fax_number": "305-248-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NW 1ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304212",
            "telephone_number": "305-248-0271",
            "fax_number": "305-248-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM NURSING & REHAB CENTER OF HOMESTEAD MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "MISSY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MGR",
        "authorized_official_telephone_number": "305-270-7041",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF12410952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021212100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Salcedo
• Pablo Jesus Salcedo
• Damaris Salcines, D.M.D
• Isabela Saldiva
• Iliana Laura Saldivar Aguila
• Raquel Salerni
• Yaliusky Salgado Garcia
• Hayla De la Caridad Salgado Mullales
• Claritza Dunia Salgado Socarras
• Kelly Marie Salgado

• Skilled Nursing Facility in Homestead, FL
• Providers in Homestead, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.