Organization Active NPI

Mima Professional Home Care Inc

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1477797561
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIMA PROFESSIONAL HOME CARE INC
Practice address
2100 W 76TH St
Suite 308
Hialeah, FL 33016-5539
Phone
(305) 698-7132
Fax
(305) 698-7133
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Yaimary Diaz
Title
President
Phone
(305) 698-7132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2100 W 76TH St
Suite 308
Hialeah, FL 33016-5539

Mailing address

2100 W 76TH St
Suite 308
Hialeah, FL 33016-5539
Phone (305) 698-7132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1477797561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST",
            "address_2": "SUITE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "305-698-7132",
            "fax_number": "305-698-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST",
            "address_2": "SUITE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "305-698-7132",
            "fax_number": "305-698-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMA PROFESSIONAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "YAIMARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-698-7132"
    },
    "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 May 20, 2015; 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.