Organization Active NPI

Palmetto Sub Acute Care Center Inc

  • Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1780696336
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF 1423096 Issued in FL
Legal business name
PALMETTO SUB ACUTE CARE CENTER INC
Practice address
7600 SW 8TH St
Miami, FL 33144-4462
Phone
(305) 261-2525
Fax
(305) 261-5232
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Mr. Khalid Mirza
Title
President
Phone
(305) 261-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF 1423096 FL Primary

Addresses

Primary practice location

7600 SW 8TH St
Miami, FL 33144-4462

Mailing address

7600 SW 8TH St
Miami, FL 33144-4462
Phone (305) 261-2525

Other identifiers 1

IdentifierTypeStateIssuer
021280600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1780696336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444462",
            "telephone_number": "305-261-2525",
            "fax_number": "305-261-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444462",
            "telephone_number": "305-261-2525",
            "fax_number": "305-261-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SUB ACUTE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-261-2525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF 1423096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021280600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.