Arch Creek Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF10200961 Issued in FL

Legal business name

ARCH CREEK NURSING CENTER

Practice address

12505 NE 16TH Ave
North Miami, FL 33161-6019

Phone

(305) 891-1710

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Barry Preter, NHA

Title

Administrator

Phone

(305) 891-1710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1528245834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 NE 16TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331616019",
            "telephone_number": "305-891-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 NE 16TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331616019",
            "telephone_number": "305-891-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH CREEK NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "PRETER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-891-1710",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF10200961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in North Miami, FL
• Providers in North Miami, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.