Organization Active NPI

NDS Florida Service Corp

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1497745731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NDS FLORIDA SERVICE CORP
Practice address
165 SW 63Rd Ave
Miami, FL 33144-3113
Phone
(305) 261-8023
Fax
(305) 261-4579
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Evelio Dela FuenteNPI 1497066542
Title
President
Phone
(305) 261-8023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

165 SW 63Rd Ave
Miami, FL 33144-3113

Mailing address

165 SW 63Rd Ave
Miami, FL 33144-3113
Phone (305) 261-8023

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497745731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SW 63RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443113",
            "telephone_number": "305-261-8023",
            "fax_number": "305-261-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SW 63RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443113",
            "telephone_number": "305-261-8023",
            "fax_number": "305-261-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDS FLORIDA SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELA FUENTE",
        "authorized_official_first_name": "EVELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-261-8023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.