Blue Heaven Rehabilitation Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BLUE HEAVEN REHABILITATION INC

Practice address

4355 W 16TH Ave
Suite 201
Hialeah, FL 33012-7666

Phone

(305) 551-2400

Fax

(305) 551-3989

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Alfredo Nodarse

Title

President

Phone

(305) 551-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1497042253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE",
            "address_2": "SUITE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127666",
            "telephone_number": "305-551-2400",
            "fax_number": "305-551-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE",
            "address_2": "SUITE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127666",
            "telephone_number": "305-551-2400",
            "fax_number": "305-551-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HEAVEN REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "NODARSE",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-551-2400"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blossom Aid Community Services LLC
• Blue Angels Behavior Therapy LLC
• Blue Clinical Center LLC
• Blue Dandelion Integrative Therapy, LLC
• Blue Health Care, Inc
• Blue Heaven Rehabilitation Inc
• Blue Horizon Rehab Medical, Corp.
• Blue Lagoon Medical Center Inc
• Blue Lake Medical Center, Inc.
• Blue Leaf Med Supplies Inc

• Multi-Specialty Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.