Organization Active NPI

The Negrin Home, Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1457025389
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 4, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110507900MedicaidFL

National Provider Directory

National Provider Directory

NPI 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": []
}

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 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.

Verify at the official NPI Registry.