NPIMap

Organization Active NPI

Jackson South Community Hospital

  • Psychiatric Hospital
  • Miami, FL
National Provider Identifier
1578814265
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
ARNP 2950782 Issued in FL
Legal business name
JACKSON SOUTH COMMUNITY HOSPITAL
Practice address
9333 SW 152 St
Miami, FL 33156
Phone
(305) 256-5311
Fax
(305) 256-5304
NPI assigned
Sep 21, 2012
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Ms. Daysi Quintanilla, ARNP
Title
Associate Director of Patients Care
Phone
(305) 256-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X ARNP 2950782 FL Primary

Addresses

Primary practice location

9333 SW 152 St
Miami, FL 33156

Mailing address

5850 NW 191St Ter
Hialeah, FL 33015-5036
Phone (305) 558-8826

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1578814265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 NW 191ST TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155036",
            "telephone_number": "305-558-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 SW 152 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-256-5311",
            "fax_number": "305-256-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON SOUTH COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "DAYSI",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PATIENTS CARE",
        "authorized_official_telephone_number": "305-256-5311",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "ARNP 2950782",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 21, 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.