Individual provider Active NPI

Rose Homicile, MSW

  • Clinical Social Worker
  • North Miami Beach, FL
National Provider Identifier
1639459381
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW2369 Issued in FL
Practice address
13899 Biscayne Blvd
# 223
North Miami Beach, FL 33181-1600
Phone
(305) 244-0971
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW2369 FL Primary

Addresses

Primary practice location

13899 Biscayne Blvd
# 223
North Miami Beach, FL 33181-1600

Mailing address

13899 Biscayne Blvd Ste 223
North Miami Beach, FL 33181-1647
Phone (305) 244-0971

Other identifiers 1

IdentifierTypeStateIssuer
761-791-700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Ways Network, Inc. Clinical PastSince Jan 1, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1639459381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13899 BISCAYNE BLVD STE 223",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331811647",
            "telephone_number": "305-244-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13899 BISCAYNE BLVD",
            "address_2": "# 223",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331811600",
            "telephone_number": "305-244-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMICILE",
        "first_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW2369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761-791-700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.