Providence Healthcare

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PROVIDENCE HEALTHCARE

Practice address

8505 NW 74TH St
Suite B
Miami, FL 33166-2327

Phone

(305) 220-1088

Fax

(305) 220-1086

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Nercy B Radcliffe

Title

President

Phone

(305) 282-1257

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1770856072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 NW 74TH ST",
            "address_2": "SUITE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662327",
            "telephone_number": "305-220-1088",
            "fax_number": "305-220-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 NW 74TH ST",
            "address_2": "SUITE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662327",
            "telephone_number": "305-220-1088",
            "fax_number": "305-220-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "NERCY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-282-1257",
        "authorized_official_name_prefix": "Mrs."
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismara Yanet Provance Rojas
• Provectus Health LLC
• Provena Care LLC
• Provena Medequip LLC
• Providence Community Center LLC
• Providence Healthcare Services, Inc.
• Providence Healthcare Services, Inc.
• Providence Homecare LLC
• Providence Homecare LLC
• Providence Medical Center Inc

• 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 Apr 9, 2014; 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.