Metrocare Healthcare Systems, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

METROCARE HEALTHCARE SYSTEMS, INC.

Practice address

18425 NW 2ND Ave
Suite 350G
Miami Gardens, FL 33169-4534

Phone

(305) 653-5731

NPI assigned

May 9, 2008

Organization subpart

No

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

Authorized official

Name

Russ Aideyan

Title

Executive Director

Phone

(305) 653-5731

Specialties & licenses 1

Addresses

Tax ID family

Metrocare Healthcare Systems Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Metrocare Healthcare Systems, Inc

  • Community Health Clinic/Center
  • Hollywood, FL
  • NPI 1720260326
  NPD tax ID

Locations

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1700053659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE",
            "address_2": "SUITE 350G",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694534",
            "telephone_number": "305-653-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE",
            "address_2": "SUITE 350G",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694534",
            "telephone_number": "305-653-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCARE HEALTHCARE SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "AIDEYAN",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-653-5731"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.