Hemo Life Line LLC

Primary specialty

Renal Dialysis TechnicianTaxonomy code 2472R0900X

Legal business name

HEMO LIFE LINE LLC

Practice address

14160 Palmetto Frntg Rd Ste 100
Miami Lakes, FL 33016-1641

Phone

(786) 703-5111

Fax

(786) 703-5157

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Felix A Garcia

Title

Administrator

Phone

(786) 703-5111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1770042475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 PALMETTO FRNTG RD STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161641",
            "telephone_number": "786-703-5111",
            "fax_number": "786-703-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14160 PALMETTO FRNTG RD STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161641",
            "telephone_number": "786-703-5111",
            "fax_number": "786-703-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMO LIFE LINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-703-5111"
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.