Organization Active NPI

Blanco Home Health Care Corporation

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1699977553
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8370 Issued in FL
Legal business name
BLANCO HOME HEALTH CARE CORPORATION
Practice address
604 NW 25TH Ave
Miami, FL 33125-4444
Phone
(305) 649-9299
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Authorized official

Name
Jenny Pichardo
Title
Presdent
Phone
(305) 649-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8370 FL Primary

Addresses

Primary practice location

604 NW 25TH Ave
Miami, FL 33125-4444

Mailing address

604 NW 25TH Ave
Miami, FL 33125-4444
Phone (305) 649-9299

Other identifiers 2

IdentifierTypeStateIssuer
690841100MedicaidFL
142652400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1699977553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 NW 25TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254444",
            "telephone_number": "305-649-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 NW 25TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254444",
            "telephone_number": "305-649-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO HOME HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "305-649-9299"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690841100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142652400",
            "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 Jan 28, 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.