NPIMap

Organization Active NPI

MD Home Care, Inc.

Doing business as MD Home Care # 2

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1629386941
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11324 Issued in FL
Legal business name
MD HOME CARE, INC.
Doing business as
MD Home Care # 2
Practice address
13711 SW 105TH St
Miami, FL 33186-3118
Phone
(786) 213-4662
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Ms. Madelein Cancela Diaz
Title
President
Phone
(786) 213-4662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11324 FL Primary

Addresses

Primary practice location

13711 SW 105TH St
Miami, FL 33186-3118

Mailing address

13711 SW 105TH St
Miami, FL 33186-3118
Phone (786) 213-4662

Other identifiers 1

IdentifierTypeStateIssuer
0016254-00MedicaidFL

Other names 1

  • MD HOME CARE # 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MD Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1629386941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13711 SW 105TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863118",
            "telephone_number": "786-213-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13711 SW 105TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863118",
            "telephone_number": "786-213-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "CANCELA DIAZ",
        "authorized_official_first_name": "MADELEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-213-4662",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016254-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD HOME CARE # 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2010; 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.