Organization Active NPI

Mom Excellent Care

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1457620296
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12077 Issued in FL
Legal business name
MOM EXCELLENT CARE
Practice address
7800 NW 179TH St
Hialeah, FL 33015-2849
Phone
(305) 556-5658
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Yoani Garcia
Title
Administrator
Phone
(305) 556-5658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12077 FL Primary

Addresses

Primary practice location

7800 NW 179TH St
Hialeah, FL 33015-2849

Mailing address

7800 NW 179TH St
Hialeah, FL 33015-2849
Phone (305) 556-5658

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1457620296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 179TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152849",
            "telephone_number": "305-556-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 NW 179TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152849",
            "telephone_number": "305-556-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOM EXCELLENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "YOANI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-556-5658"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12077",
            "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 Dec 23, 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.