NPIMap

Organization Active NPI

At Talitha Cumi Home Care, Inc.

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
National Provider Identifier
1447760657
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AT TALITHA CUMI HOME CARE, INC.
Practice address
3201 Griffin Rd Ste 202
Fort Lauderdale, FL 33312-6900
Phone
(786) 452-1226
NPI assigned
Oct 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Yashira M. Rivas
Title
President
Phone
(786) 454-7021

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X 234611 FL
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X 234611 FL

Addresses

Primary practice location

3201 Griffin Rd Ste 202
Fort Lauderdale, FL 33312-6900

Mailing address

1840 W 49TH St Ste 224
Hialeah, FL 33012-2949
Phone (786) 452-1226

Other practice location 1

15800 Pines Blvd
Suite 304
Pembroke Pines, FL 33027
Phone (786) 452-1226

Other practice location 2

3600 S State Road 7 Ste 363
Miramar, FL 33023-7203
Phone (786) 452-1226

Other identifiers 1

IdentifierTypeStateIssuer
002806208MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
At Talitha Cumi Home Care Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 Griffin Rd
Ste 202
Fort Lauderdale, FL 33312

1840 W 49th St
Ste 716
Hialeah, FL 33012
Phone (650) 519-5873

3600 S State Road 7
Ste 321
Miramar, FL 33023

15800 Pines Blvd
Ste 304
Pembroke Pines, FL 33027

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1447760657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 224",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122949",
            "telephone_number": "786-452-1226",
            "fax_number": "786-452-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GRIFFIN RD STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126900",
            "telephone_number": "786-452-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15800 Pines Blvd",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33027",
            "country_code": "US",
            "telephone_number": "786-452-1226",
            "fax_number": "486-452-1227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 S State Road 7 Ste 363",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330237203",
            "country_code": "US",
            "telephone_number": "786-452-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AT TALITHA CUMI HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "YASHIRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-454-7021"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "234611",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002806208",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.