Organization Active NPI

Garden of Eden 2015 Corp

  • Adult Day Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1508380833
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GARDEN OF EDEN 2015 CORP
Practice address
681 E 9St
Hialeah, FL 33010
Phone
(786) 636-6932
Fax
(786) 703-2137
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Judith Rojas
Title
President
Phone
(786) 636-6932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

681 E 9St
Hialeah, FL 33010

Mailing address

681 E 9St
Hialeah, FL 33010
Phone (786) 636-6932

Other identifiers 1

IdentifierTypeStateIssuer
9391MedicaidFL

National Provider Directory

National Provider Directory

Locations

681 E 9th St
Hialeah, FL 33010
Phone (786) 636-6932

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1508380833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 E 9ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "786-636-6932",
            "fax_number": "786-703-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 E 9ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "786-636-6932",
            "fax_number": "786-703-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OF EDEN 2015 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-636-6932"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9391",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.