Active NPI
Family Life Care Services
- In Home Supportive Care Agency
- Hialeah, FL
National Provider Identifier
1558778605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FAMILY LIFE CARE SERVICES
- Practice address
- 17680 NW 78TH Ave Ste 105
Hialeah, FL 33015-3667 - Phone
- (305) 779-1068
- Fax
- (305) 779-1067
- NPI assigned
- Jul 21, 2014
- Last updated
- Nov 15, 2021
- 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
- Mr. Derick R Toro
- Title
- President
- Phone
- (305) 779-1068
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
17680 NW 78TH Ave Ste 105
Hialeah, FL 33015-3667
Mailing address
17680 NW 78TH Ave Ste 105
Hialeah, FL 33015-3667
Phone (305) 779-1068
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010923900 | Medicaid | FL | |
| 007211400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
17680 NW 78th Ave
Ste 105
Hialeah, FL 33015
Phone (305) 779-1068
8040 NW 155th St
#214
Miami Lakes, FL 33016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636934400000",
"number": "1558778605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17680 NW 78TH AVE STE 105",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153667",
"telephone_number": "305-779-1068",
"fax_number": "305-779-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17680 NW 78TH AVE STE 105",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153667",
"telephone_number": "305-779-1068",
"fax_number": "305-779-1067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY LIFE CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-21",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A",
"authorized_official_last_name": "TORO",
"authorized_official_first_name": "DERICK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-779-1068",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010923900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007211400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
- Family Care Medical Center II Inc
- Family Doctors Medical Center
- Family Extended Care of Amelia Island, Inc.
- Family Health Care Corp
- Family Home Care Inc (the)
- Family Medical Group - HML
- Family Pharmacy & Discount, Inc.
- Family Practitioner Services, Inc.
- Family Rojas Therapy Center Inc
- Family Wellness & Health, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.