NPIMap

Organization Active NPI

Senior Community Based Services Corp

  • In Home Supportive Care Agency
  • Hialeah, FL
National Provider Identifier
1679023147
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
234592 Issued in FL
Legal business name
SENIOR COMMUNITY BASED SERVICES CORP
Practice address
1840 W 49TH St Ste 311
Apt 103
Hialeah, FL 33012-2978
Phone
(786) 970-8480
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Manuel Fernandez Cuervo
Title
Ceo
Phone
(786) 701-6007

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 234592 FL
In Home Supportive Care Agency 253Z00000X 234592 FL Primary
Respite Care 385H00000X 234592 FL

Addresses

Primary practice location

1840 W 49TH St Ste 311
Apt 103
Hialeah, FL 33012-2978

Mailing address

1840 W 49TH St Ste 311
Apt 103
Hialeah, FL 33012-2978
Phone (786) 970-8480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1679023147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 311",
            "address_2": "APT 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122978",
            "telephone_number": "786-970-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 311",
            "address_2": "APT 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122978",
            "telephone_number": "786-970-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR COMMUNITY BASED SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ CUERVO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-701-6007"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "234592",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234592",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "234592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.