Organization Active NPI

Variety Children's Hospital

Doing business as Nicklaus Children's Hospital - Aventura Care Center

  • General Acute Care Hospital
  • Aventura, FL
National Provider Identifier
1518360700
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
VARIETY CHILDREN'S HOSPITAL
Doing business as
Nicklaus Children's Hospital - Aventura Care Center
Practice address
20295 NE 29TH PL
Suite 300
Aventura, FL 33180-4109
Phone
(786) 624-2800
NPI assigned
Oct 1, 2014
Last updated
Feb 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VAREITY CHILDREN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Georgette Alfau
Title
Payer Contract/Credentialing Analys
Phone
(786) 624-5795

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Rehabilitation Clinic/Center 261QR0400X NU
Urgent Care Clinic/Center 261QU0200X NU
General Acute Care Hospital 282N00000X NU Primary
Children's Hospital 282NC2000X NU
Neurological Surgery Physician 207T00000X NU
Pediatric Allergy/Immunology Physician 2080P0201X NU
Pediatric Cardiology Physician 2080P0202X NU
Pediatric Endocrinology Physician 2080P0205X NU
Pediatric Gastroenterology Physician 2080P0206X NU
Pediatric Nephrology Physician 2080P0210X NU
Pediatric Rheumatology Physician 2080P0216X NU
Plastic Surgery Physician 208200000X NU
Pediatric Radiology Physician 2085P0229X NU
Pediatric Orthopaedic Surgery Physician 207XP3100X NU

Addresses

Primary practice location

20295 NE 29TH PL
Suite 300
Aventura, FL 33180-4109

Mailing address

3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 666-6511

Other identifiers 1

IdentifierTypeStateIssuer
010060921MedicaidFL

Other names 1

  • Nicklaus Children's Hospital - Aventura Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Miami Children's Hospital32 organizations share this tax ID, including this one
Part of
Miami Children's Hospital

Other organizations with this tax ID 31

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

View all 31

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1518360700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-666-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20295 NE 29TH PL",
            "address_2": "SUITE 300",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804109",
            "telephone_number": "786-624-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARIETY CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAREITY CHILDREN HOSPITAL",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "ALFAU",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_title_or_position": "PAYER CONTRACT/CREDENTIALING ANALYS",
        "authorized_official_telephone_number": "786-624-5795"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010060921",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicklaus Children's Hospital - Aventura Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nicklaus Children's Hospital - Aventura Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.