NPIMap

Organization Active NPI

Super Star Staff Coordinator Services, Inc.

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1457505372
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPER STAR STAFF COORDINATOR SERVICES, INC.
Practice address
1490 W 49TH PL
Ste 445
Hialeah, FL 33012-3148
Phone
(305) 556-2888
Fax
(305) 556-0220
NPI assigned
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Mayra Ruiz
Title
President
Phone
(305) 556-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1490 W 49TH PL
Ste 445
Hialeah, FL 33012-3148

Mailing address

1490 W 49TH PL
Ste 445
Hialeah, FL 33012-3148
Phone (305) 556-2888

National Provider Directory

National Provider Directory
Tax ID family
Super Star Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1457505372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL",
            "address_2": "STE 445",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123148",
            "telephone_number": "305-556-2888",
            "fax_number": "305-556-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL",
            "address_2": "STE 445",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123148",
            "telephone_number": "305-556-2888",
            "fax_number": "305-556-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER STAR STAFF COORDINATOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-556-2888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.