Organization Active NPI

Jireh Home Health Agency, Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1548470727
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992711 Issued in FL
Legal business name
JIREH HOME HEALTH AGENCY, INC.
Practice address
175 Fontainebleau Blvd
Suite 1A1
Miami, FL 33172-7018
Phone
(305) 227-8652
Fax
(305) 227-0948
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Carlos Casanueva
Title
Cfo/Administrator
Phone
(305) 227-8652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992711 FL Primary

Addresses

Primary practice location

175 Fontainebleau Blvd
Suite 1A1
Miami, FL 33172-7018

Mailing address

175 Fontainebleau Blvd
Suite 2a
Miami, FL 33172-7018
Phone (305) 227-8652

Other identifiers 1

IdentifierTypeStateIssuer
651583500MedicaidFL

National Provider Directory

National Provider Directory

Locations

175 Fountainbleau Blvd
Ste 2A
Miami, FL 33172
Phone (305) 261-1565

175 Fontainebleau Blvd
Ste 2D2
Miami, FL 33172
Phone (305) 227-8652

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1548470727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 2A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-227-8652",
            "fax_number": "305-227-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 1A1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-227-8652",
            "fax_number": "305-227-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "CASANUEVA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CFO/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-227-8652"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651583500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.