Blue Door Home Care Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

BLUE DOOR HOME CARE INC

Practice address

12150 SW 128TH CT Ste 107
Miami, FL 33186-4648

Phone

(786) 842-0161

Fax

(786) 842-0335

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Yamil Alcoba

Title

Administrator

Phone

(786) 842-0161

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1730734435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864648",
            "telephone_number": "786-842-0161",
            "fax_number": "786-842-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864648",
            "telephone_number": "786-842-0161",
            "fax_number": "786-842-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOOR HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "ALCOBA",
        "authorized_official_first_name": "YAMIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-842-0161"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "30212054",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Miami, FL
• Providers in Miami, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.