Organization Active NPI

Golden Health Rehabilitation Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1699848192
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
101434 Issued in FL
Legal business name
GOLDEN HEALTH REHABILITATION CENTER INC
Practice address
7254 SW 48TH St
Miami, FL 33155-5525
Phone
(305) 265-7878
Fax
(305) 265-9919
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Ms. Alicia Fajardo
Title
Ceo
Phone
(305) 265-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 101434 FL Primary

Addresses

Primary practice location

7254 SW 48TH St
Miami, FL 33155-5525

Mailing address

7254 SW 48TH St
Miami, FL 33155-5525
Phone (305) 265-7878

Other identifiers 2

IdentifierTypeStateIssuer
10-1434OtherFLMEDICARE PART A (PHP)
003761900MedicaidFL

Other names 1

  • Golden Health Rehabilition Center Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

7254 SW 48th St
Miami, FL 33155
Phone (305) 265-7878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1699848192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 SW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555525",
            "telephone_number": "305-265-7878",
            "fax_number": "305-265-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 SW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555525",
            "telephone_number": "305-265-7878",
            "fax_number": "305-265-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEALTH REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-265-7878",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "101434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A (PHP)",
            "identifier": "10-1434",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003761900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Health Rehabilition Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 13, 2011; 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.