Medina Community Services Corp

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MEDINA COMMUNITY SERVICES CORP

Practice address

16430 NW 59TH Ave Ste 202
Miami Lakes, FL 33014-5605

Phone

(786) 671-4117

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Elisabet Medina

Title

Owner

Phone

(786) 547-4140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1699441790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 NW 59TH AVE STE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330145605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 NW 59TH AVE STE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330145605",
            "telephone_number": "786-671-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA COMMUNITY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ELISABET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-547-4140"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.