Active NPI
First Prevention & Dialysis Center,LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami Gardens, FL
National Provider Identifier
1710373634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FIRST PREVENTION & DIALYSIS CENTER,LLC
- Practice address
- 17940 NW 27TH Ave
Miami Gardens, FL 33056-3505 - Phone
- (305) 318-3169
- Fax
- (954) 391-8913
- NPI assigned
- Apr 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Betty Jean Verbal
- Title
- Ceo
- Phone
- (305) 318-3169
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
17940 NW 27TH Ave
Miami Gardens, FL 33056-3505
Mailing address
8363 Pines Blvd
Pembroke Pines, FL 33024-6607
Phone (305) 318-3169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150626000239 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6800107285 | Practice locations: Miami Gardens, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- First Prevention & Dialysis Center, LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Feb 25, 2016
- Medicare certification status
- Active
- Dialysis stations
- 14
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2096687 | First Prevention and Dialysis Center LLC | Certificate of waiver | May 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
17940 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 621-8899
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428364800000",
"number": "1710373634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8363 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246607",
"telephone_number": "305-318-3169",
"fax_number": "954-391-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17940 NW 27TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563505",
"telephone_number": "305-318-3169",
"fax_number": "954-391-8913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST PREVENTION & DIALYSIS CENTER,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-07",
"last_updated": "2015-04-07",
"status": "A",
"authorized_official_last_name": "VERBAL",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-318-3169",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
- Fined Tuned Therapy Services, LLC
- First Choice RX Infusion LLC
- First Day Services Corp
- First Hand Healthcare LLC
- First Impressions Cummunity Development Corp.
- First Prevention & Dialysis Correction,LLC
- First-Class Medical & Psychiatry Clinic, LLC
- FL Universal Case Management LLC
- FLC Services Solutions Corp
- Yanetsy Fleites Naranjo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.