Two Sistershomecare # III

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

AL10940 Issued in FL

Legal business name

TWO SISTERSHOMECARE # III

Practice address

9143 NW 117TH St
Hialeah, FL 33018-4147

Phone

(786) 897-0734

Fax

(305) 816-0202

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Marlene Valdes

Title

President

Phone

(786) 897-0734

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1700200649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9143 NW 117TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184147",
            "telephone_number": "786-897-0734",
            "fax_number": "305-816-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9143 NW 117TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184147",
            "telephone_number": "786-897-0734",
            "fax_number": "305-816-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO SISTERSHOMECARE # III",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-897-0734",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "AL10940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALF LICENSE",
            "identifier": "AL10940",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427776",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.