NPIMap

Organization Active NPI

Little Havana Activities and Nutrition Centers of Dade County, Inc

  • Respite Care
  • Miami, FL
National Provider Identifier
1497912810
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
LITTLE HAVANA ACTIVITIES AND NUTRITION CENTERS OF DADE COUNTY, INC
Practice address
10000 SW 56TH St
Suiite 25-26
Miami, FL 33165-7165
Phone
(305) 271-1903
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Rafael Iglesias
Title
President/Ceo
Phone
(305) 854-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

10000 SW 56TH St
Suiite 25-26
Miami, FL 33165-7165

Mailing address

700 SW 8TH St
Miami, FL 33130-3311
Phone (305) 858-0887

Other identifiers 1

IdentifierTypeStateIssuer
683270900MedicaidFL

Other names 1

  • LHANC - MP ADC Other name

National Provider Directory

National Provider Directory
Tax ID family
Little Havana Activities Nutrition Centers of Dade County Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

10000 SW 56th St
Ste 2526
Miami, FL 33165
Phone (305) 271-1903

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1497912810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303311",
            "telephone_number": "305-858-0887",
            "fax_number": "305-854-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SW 56TH ST",
            "address_2": "SUIITE 25-26",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657165",
            "telephone_number": "305-271-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE HAVANA ACTIVITIES AND NUTRITION CENTERS OF DADE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "305-854-2226"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683270900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LHANC - MP ADC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LHANC - MP ADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 7, 2021; 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.