Organization Active NPI

Small Miracles of Naples, Inc

  • Pediatric Skilled Nursing Facility
  • Naples, FL
National Provider Identifier
1750128922
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
SMALL MIRACLES OF NAPLES, INC
Practice address
5555 Golden Gate Pkwy Ste 123
Naples, FL 34116-7575
Phone
(813) 384-1778
NPI assigned
Jul 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Authorized official

Name
Ihoanne M Betancourt RuizNPI 1164184222
Title
President
Phone
(813) 384-1778

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
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

5555 Golden Gate Pkwy Ste 123
Naples, FL 34116-7575

Mailing address

5555 Golden Gate Pkwy Ste 123
Naples, FL 34116-7575
Phone (813) 384-1778

National Provider Directory

National Provider Directory

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": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1750128922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GOLDEN GATE PKWY STE 123",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167575",
            "telephone_number": "813-384-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GOLDEN GATE PKWY STE 123",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167575",
            "telephone_number": "813-384-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL MIRACLES OF NAPLES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT RUIZ",
        "authorized_official_first_name": "IHOANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-384-1778"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.