FMSC Thomasville Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FMSC THOMASVILLE OPERATING COMPANY LLC

Doing business as

Brian Center of Thomasville

Practice address

11900 Biscayne Blvd Suite 301
Miami, FL 33181

Phone

(305) 892-1790

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Robaina Jr., B.S.

Title

VP of Reimbursments

Phone

(305) 892-1790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brian Center of Thomasville Doing business as

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649242140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 BISCAYNE BLVD SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-892-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 BISCAYNE BLVD SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-892-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMSC THOMASVILLE OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBAINA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "VP OF REIMBURSMENTS",
        "authorized_official_telephone_number": "305-892-1790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277604A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian Center of Thomasville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.