NPIMap

Organization Active NPI

Public Health Trust of Dade County Florida

Doing business as Juanita Mann Health Center

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1578633707
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA
Doing business as
Juanita Mann Health Center
Practice address
7900 NW 27TH Ave
Miami, FL 33147-4902
Phone
(305) 694-2900
Fax
(305) 696-0000
NPI assigned
Nov 8, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Frank J Barrett
Title
Executive VP, Cfo
Phone
(305) 585-7137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

7900 NW 27TH Ave
Miami, FL 33147-4902

Mailing address

1611 NW 12TH Ave
Miami, FL 33136-1005
Phone (305) 585-8957

Other identifiers 1

IdentifierTypeStateIssuer
010042117MedicaidFL

Other names 1

  • Juanita Mann Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060208000214 FL Part A Provider - Hospital 8628981925 22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami, FL; North Miami Beach, FL; Miami Beach, FL; North Miami, FL; Opa Locka, FL; Village of Palmetto Bay, FL; Homestead, FL; Doral, FL…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578633707. Details of each certification follow.

Hospital certification: CCN 100022

Legal name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 9, 2020
Beds
2,255
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
1611 NW 12TH Ave
Miami, FL 33136-1005
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

Care Compare: Hospital

Medicare Care Compare
Listed as
Jackson Health SystemCCN 100022 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Abdul Mmemon MD54 organizations share this tax ID, including this one
Part of
Abdul Mmemon MD

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Myriam Torres Individual Corporate OfficerVP Revenue Cycle Management Mar 21, 2016
Corporate DirectorVP Revenue Cycle Management Mar 21, 2016
W-2 Managing EmployeeVP Revenue Cycle Management Mar 21, 2016
Operational/Managerial ControlVP Revenue Cycle Management Mar 21, 2016
Mark T Knight Individual Corporate OfficerEvp, Chief Financial Officer Nov 1, 2010
Corporate DirectorEvp, Chief Financial Officer Nov 1, 2011
W-2 Managing EmployeeEvp, Chief Financial Officer Nov 1, 2010
Operational/Managerial ControlEvp, Chief Financial Officer Nov 1, 2011
Carlos Migoya Individual Corporate OfficerChief Executive Officer May 2, 2011
Corporate DirectorChief Executive Officer May 2, 2011
W-2 Managing EmployeeChief Executive Officer May 2, 2011
Operational/Managerial ControlChief Executive Officer May 2, 2011
Public Health Trust of Miami Dade County Florida Organization, Miami, FL Non-profit Operational/Managerial Control Oct 1, 1973 100%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,674

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,674

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1578633707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331474902",
            "telephone_number": "305-694-2900",
            "fax_number": "305-696-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE VP, CFO",
        "authorized_official_telephone_number": "305-585-7137"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010042117",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juanita Mann Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.