NPIMap

Organization Active NPI

Bolivar Health & Rehabilitation

  • Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1477525921
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
314000000 Issued in MS
Legal business name
BOLIVAR HEALTH & REHABILITATION
Practice address
11900 Biscayne Blvd Suite 301
Miami, FL 33181
Phone
(305) 892-1790
NPI assigned
Feb 7, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mr. Nelson Robaina Jr., B.S.
Title
VP of Reimbursments
Phone
(305) 892-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 314000000 MS Primary

Addresses

Primary practice location

11900 Biscayne Blvd Suite 301
Miami, FL 33181

Mailing address

11900 Biscayne Blvd Suite 301
Miami, FL 33181
Phone (305) 892-1790

Other identifiers 1

IdentifierTypeStateIssuer
00-230-065MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Bolivar Health and Rehabiliation Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1477525921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 BISCAYNE BLVD SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-892-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 BISCAYNE BLVD SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-892-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLIVAR HEALTH & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "ROBAINA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "VP OF REIMBURSMENTS",
        "authorized_official_telephone_number": "305-892-1790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "314000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00-230-065",
            "state": "MS"
        }
    ],
    "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 7, 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.