Organization Active NPI

Mediadvantage Home Health Services Corp

  • Home Health Agency
  • Doral, FL
National Provider Identifier
1730127754
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDIADVANTAGE HOME HEALTH SERVICES CORP
Practice address
8180 NW 36TH St
414
Doral, FL 33166-6645
Phone
(786) 621-5444
Fax
(786) 621-5445
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Juan Antonio CarmonaNPI 1083153761
Title
President
Phone
(786) 621-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8180 NW 36TH St
414
Doral, FL 33166-6645

Mailing address

8180 NW 36TH St
414
Doral, FL 33166-6645
Phone (786) 621-5444

Other identifiers 1

IdentifierTypeStateIssuer
651054000MedicaidFL

National Provider Directory

National Provider Directory

Locations

8180 NW 36th St
Ste 414
Doral, FL 33166
Phone (786) 621-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1730127754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "414",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "786-621-5444",
            "fax_number": "786-621-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "414",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "786-621-5444",
            "fax_number": "786-621-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIADVANTAGE HOME HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-621-5444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651054000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.