Active NPI
Mount Sinai Eldercare, Inc.
- PACE Provider Organization
- Hialeah, FL
National Provider Identifier
1528787942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2268785 | Mount Sinai Eldercare Inc | Certificate of waiver | Sep 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.