Organization Active NPI

Successful Care Enterprise Inc.

  • Home Health Agency
  • Miami Gardens, FL
National Provider Identifier
1508187907
Registry record updated Jun 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUCCESSFUL CARE ENTERPRISE INC.
Practice address
1340 NW 207TH St Ste D
Miami Gardens, FL 33169-2331
Phone
(305) 801-1683
Fax
(305) 653-8790
NPI assigned
Jun 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2010

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

Authorized official

Name
Ms. Novlet Hudaon, PHD
Title
Director
Phone
(305) 801-1683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1340 NW 207TH St Ste D
Miami Gardens, FL 33169-2331

Mailing address

1340 NW 207TH St Ste D
Miami Gardens, FL 33169-2331
Phone (305) 801-1683

Other identifiers 2

IdentifierTypeStateIssuer
PN1112631OtherFLMEDICARE
PN1112631MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1276992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276992000000",
    "number": "1508187907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 NW 207TH ST STE D",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692331",
            "telephone_number": "305-801-1683",
            "fax_number": "305-653-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 NW 207TH ST STE D",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692331",
            "telephone_number": "305-801-1683",
            "fax_number": "305-653-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL CARE ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-20",
        "last_updated": "2010-06-20",
        "status": "A",
        "authorized_official_last_name": "HUDAON",
        "authorized_official_first_name": "NOVLET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-801-1683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PN1112631",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PN1112631",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2010; 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.