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Public Health Trust of Miami Dade County Florida

Organization Active NPI Rehabilitation Hospital Unit · Miami, FL

NPI 1487724241 · NPPES record last updated Apr 6, 2017

Key facts

NPI
1487724241
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital Unit 273Y00000X
Legal business name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Practice address
1611 NW 12TH Street
Miami, FL 33136-1005
Phone
(305) 585-8490
Fax
(305) 355-2377
NPI assigned
Nov 9, 2006
Organization subpart
Yes
Parent organization (as reported)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY

Authorized official

Name
Mr. Mark T Knight
Title
Chief Financial Officer
Phone
(305) 585-7979

Owned or controlled facilities with NPI records 25

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 56

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Jackson Memorial Hospital CCN 10T022
Ownership
Government
Certified
Oct 1, 2024

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Hospital certification: CCN 10T022

Legal name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Organization structure
Government · Non-profit
Enrollment address
1611 NW 12TH Ave
Miami, FL 33136-1005
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Myriam Torres
Individual 		Corporate Officer
VP Revenue Cycle Management		 Nov 1, 2010
Corporate Director Nov 1, 2011
W-2 Managing Employee
VP Revenue Cycle Management		 Nov 1, 2011
Operational/Managerial Control
VP Revenue Cycle Management		 Sep 10, 2016
Mark T Knight
Individual 		Corporate Officer
Evp Cfo		 Nov 1, 2010
Corporate Director
Evp Cfo		 Nov 1, 2010
W-2 Managing Employee
Evp Cfo		 Nov 1, 2010
Operational/Managerial Control
Evp Cfo		 Nov 1, 2010
Carlos Migoya
Individual 		Corporate Officer
Ceo		 May 2, 2011
Corporate Director
Ceo		 May 2, 2011
W-2 Managing Employee
Ceo		 May 2, 2011
Operational/Managerial Control
Ceo		 May 2, 2011

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Public Health Trust of Miami Dade County Florida
Miami, FL · CCN 100022		 Hospital Operational/Managerial Control (100%) Oct 1, 1973
Jackson Memorial Long Term Care Center
Miami, FL · CCN 105392		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 25, 1992
Apr 25, 1992
May 5, 2025
Public Health Trust of Miami Dade County Florida
Cutler Bay, FL · CCN 105252		 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Oct 1, 1973
Oct 1, 1973
Oct 1, 1973

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111118000053 FL Part a Provider - Hospital 8628981925 2 other NPIs on this enrollment
Practice locations: Miami, FL; Village of Palmetto Bay, FL; North Miami Beach, FL

National Provider Directory

Tax ID family
Dianne M Parker MD (54 organizations share this tax ID)
Part of
Dianne M Parker MD

Networks

  • HealthSun Health Plans Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Yes

Addresses

Primary practice location

1611 NW 12TH Street
Miami, FL 33136-1005

Mailing address

PO Box 12493
Miami, FL 33101-2493
Phone (786) 466-8080

Other identifiers

IdentifierTypeStateIssuer
010042100MedicaidFL

Other names

  • PHT JMH Inpatient Rehab Unit Doing business as

Other providers in Miami, FL

All providers in Miami, FL · Rehabilitation Hospital Unit in Florida

Sources for this page

Verify at the official NPI Registry.