Organization Active NPI

Mount Sinai Eldercare, Inc.

  • PACE Provider Organization
  • Hialeah, FL
National Provider Identifier
1528787942
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
MOUNT SINAI ELDERCARE, INC.
Practice address
6050 W 20TH Ave Ste 2001
Hialeah, FL 33016-2605
Phone
(786) 584-5560
Fax
(786) 584-5060
NPI assigned
Aug 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Mary Danette Kiefert
Title
Director
Phone
(786) 584-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

6050 W 20TH Ave Ste 2001
Hialeah, FL 33016-2605

Mailing address

4300 Alton Road
Warner BLDG., 5TH Floor
Miami Beach, FL 33140-2945
Phone (786) 584-5560

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2268785Mount Sinai Eldercare Inc6050 W 20TH Avenue Suite 2001, Hialeah, FL 33016Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

6050 W 20th Ave
Ste 2001
Hialeah, FL 33016
Phone (786) 584-5560

4300 Alton Rd
Bldg 5TH
Miami Beach, FL 33140

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1528787942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON ROAD",
            "address_2": "WARNER BLDG., 5TH FLOOR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402945",
            "telephone_number": "786-584-5560",
            "fax_number": "786-584-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 W 20TH AVE STE 2001",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162605",
            "telephone_number": "786-584-5560",
            "fax_number": "786-584-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI ELDERCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "KIEFERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DANETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-584-5560"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.