Organization Active NPI

Florida MHS, Inc.

Doing business as Magellan Complete Care

  • Health Maintenance Organization
  • Miami, FL
National Provider Identifier
1639444896
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
FLORIDA MHS, INC.
Doing business as
Magellan Complete Care
Practice address
7400 NW 19TH St
Suite C
Miami, FL 33126-1242
Phone
(305) 717-5310
NPI assigned
Mar 20, 2012
Organization subpart
Yes
Parent organization
MAGELLAN BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Mr. John J Dibernardi Jr., ESQ.
Title
Assistant Secretary
Phone
(410) 953-4703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

7400 NW 19TH St
Suite C
Miami, FL 33126-1242

Mailing address

6950 Columbia Gateway Dr
Columbia, MD 21046-2706
Phone (410) 953-1000

Other names 1

  • Magellan Complete Care Doing business as

National Provider Directory

National Provider Directory
Part of
Magellan Healthcare Inc

Locations

7400 NW 19th St
Ste C
Miami, FL 33126
Phone (305) 717-5310

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1639444896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 COLUMBIA GATEWAY DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462706",
            "telephone_number": "410-953-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 NW 19TH ST",
            "address_2": "SUITE C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261242",
            "telephone_number": "305-717-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MHS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGELLAN BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "DIBERNARDI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "410-953-4703",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magellan Complete Care",
            "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 Mar 20, 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.