CLJ Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLJ CARE LLC

Practice address

20801 Biscayne Blvd Ste 403
Miami, FL 33180-1474

Phone

(786) 284-1188

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Mr. David Peterson

Title

Admininstrator

Phone

(786) 284-1188

Specialties & licenses 1

Addresses

Other names 2

• PCAH Miami Beach Doing business as
• Preferred Care at Home Miami Beach Other name

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1629809454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 BISCAYNE BLVD STE 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 BISCAYNE BLVD STE 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801474",
            "telephone_number": "786-284-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLJ CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMININSTRATOR",
        "authorized_official_telephone_number": "786-284-1188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCAH Miami Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Care at Home Miami Beach",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.