Organization Active NPI

Miami Gardens Care Center, Inc.

  • Pediatric Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1699752501
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
SNF1352096 Issued in FL
Legal business name
MIAMI GARDENS CARE CENTER, INC.
Practice address
190 NE 191St St
Miami, FL 33179-3711
Phone
(305) 651-9690
Fax
(305) 654-9123
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mr. Rick Katz, NA
Title
Administrator
Phone
(305) 651-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X SNF1352096 FL Primary

Addresses

Primary practice location

190 NE 191St St
Miami, FL 33179-3711

Mailing address

190 NE 191St St
Miami, FL 33179-3711
Phone (305) 651-9690

Other identifiers 1

IdentifierTypeStateIssuer
021061700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1699752501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NE 191ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793711",
            "telephone_number": "305-651-9690",
            "fax_number": "305-654-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NE 191ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793711",
            "telephone_number": "305-651-9690",
            "fax_number": "305-654-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI GARDENS CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-651-9690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "FL",
            "license": "SNF1352096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021061700",
            "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 Jun 5, 2012; 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.