Active NPI
The Negrin Home, Inc
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1457025389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- THE NEGRIN HOME, INC
- Practice address
- 11631 SW 100TH St
Miami, FL 33176-2521 - Phone
- (305) 962-3048
- NPI assigned
- Aug 4, 2021
- 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
- Jose Raul Negrin
- Title
- Owner
- Phone
- (305) 586-8947
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
11631 SW 100TH St
Miami, FL 33176-2521
Mailing address
11631 SW 100TH St
Miami, FL 33176-2521
Phone (305) 962-3048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110507900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1457025389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11631 SW 100TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762521",
"telephone_number": "305-962-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11631 SW 100TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762521",
"telephone_number": "305-962-3048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NEGRIN HOME, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "NEGRIN",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "RAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-586-8947"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110507900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.