Organization Active NPI

Exclusive Home Care

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1649662677
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20335095 Issued in FL
Legal business name
EXCLUSIVE HOME CARE
Practice address
9766 SW 24TH St Ste 20
Miami, FL 33165-7567
Phone
(305) 225-1900
NPI assigned
Feb 27, 2015
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Pedro Gonzalez
Title
Administrator
Phone
(305) 225-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20335095 FL Primary

Addresses

Primary practice location

9766 SW 24TH St Ste 20
Miami, FL 33165-7567

Mailing address

9766 SW 24TH St Ste 20
Miami, FL 33165-7567
Phone (305) 225-1900

Other identifiers 1

IdentifierTypeStateIssuer
650402700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1649662677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9766 SW 24TH ST STE 20",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657567",
            "telephone_number": "305-225-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9766 SW 24TH ST STE 20",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657567",
            "telephone_number": "305-225-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-225-1900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20335095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650402700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 27, 2015; 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.