Organization Active NPI

Silver Years Health Care LLC

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1699307900
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SILVER YEARS HEALTH CARE LLC
Practice address
11200 W Flagler St Ste 214
Miami, FL 33174-1183
Phone
(305) 223-2367
Fax
(305) 675-0276
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Denise Maresma
Title
Adminitrator
Phone
(305) 984-9773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

11200 W Flagler St Ste 214
Miami, FL 33174-1183

Mailing address

11200 W Flagler St Ste 214
Miami, FL 33174-1183
Phone (305) 223-2367

Other identifiers 1

IdentifierTypeStateIssuer
107722900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL silveryears20@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

11200 W Flagler St
Ste 214
Miami, FL 33174
Phone (305) 223-2367

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1699307900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 W FLAGLER ST STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741183",
            "telephone_number": "305-223-2367",
            "fax_number": "305-675-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 W FLAGLER ST STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741183",
            "telephone_number": "305-223-2367",
            "fax_number": "305-675-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER YEARS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "MARESMA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINITRATOR",
        "authorized_official_telephone_number": "305-984-9773"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107722900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "silveryears20@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13710 SW 30th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331756605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 13, 2021; 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.