Hialeah SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1424096 Issued in FL

Legal business name

HIALEAH SNF LLC

Doing business as

Palmetto Rehabilitation and Health Center

Practice address

6750 W 22ND CT
Hialeah, FL 33016-3918

Phone

(305) 512-4688

Fax

(305) 825-8255

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tzvi Bogomilsky

Title

Authorized Official

Phone

(305) 401-7901

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Palmetto Rehabilitation and Health Center Doing business as

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1710186481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NE MIAMI GARDENS DR",
            "address_2": "#368",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W 22ND CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163918",
            "telephone_number": "305-512-4688",
            "fax_number": "305-825-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "BOGOMILSKY",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-401-7901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1424096",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032416700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Rehabilitation and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hialeah Mire Office Corp
• Hialeah Pathology Services, PA
• Hialeah Pharmacy Inc.
• Hialeah Physician Care LLC
• Hialeah Senior Club Inc
• Hialeah SNF LLC
• Hialeah Square Dental Associates, PA
• Hialeah Square Dentistry, PA (Towncare Dental of Hialeah Square)
• Hialeah Vision Center Inc
• Ebony A Hicks, MSW,CAP

• Skilled Nursing Facility in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.