Organization Active NPI

Medicor Inc

  • Home Health Agency
  • Homestead, FL
National Provider Identifier
1598925844
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
ARNP9214359 Issued in FL
Legal business name
MEDICOR INC
Practice address
14213 SW 289TH Ter
Homestead, FL 33033-2989
Phone
(305) 978-2182
Fax
(305) 246-3344
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Juan Carlos Santana
Title
President
Phone
(305) 978-2182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X ARNP9214359 FL Primary

Addresses

Primary practice location

14213 SW 289TH Ter
Homestead, FL 33033-2989

Mailing address

14213 SW 289TH Ter
Homestead, FL 33033-2989
Phone (305) 978-2182

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1598925844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14213 SW 289TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332989",
            "telephone_number": "305-978-2182",
            "fax_number": "305-246-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14213 SW 289TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332989",
            "telephone_number": "305-978-2182",
            "fax_number": "305-246-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-978-2182"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "ARNP9214359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.