Organization Active NPI

Hialeah Enterprise, LLC

Doing business as Hialeah Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Hialeah, FL
National Provider Identifier
1790846079
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1227096 Issued in FL
Legal business name
HIALEAH ENTERPRISE, LLC
Doing business as
Hialeah Nursing and Rehabilitation Center
Practice address
190 W 28TH St
Hialeah, FL 33010-1606
Phone
(305) 885-2437
Fax
(305) 884-1035
NPI assigned
Dec 12, 2006
Last updated
Apr 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Emma Dial
Title
Administrator
Phone
(305) 885-2437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1227096 FL Primary

Addresses

Primary practice location

190 W 28TH St
Hialeah, FL 33010-1606

Mailing address

190 W 28TH St
Hialeah, FL 33010-1606
Phone (305) 885-2437

Other identifiers 1

IdentifierTypeStateIssuer
0-265-730-00MedicaidFL

Other names 1

  • Hialeah Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1790846079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W 28TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101606",
            "telephone_number": "305-885-2437",
            "fax_number": "305-884-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W 28TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101606",
            "telephone_number": "305-885-2437",
            "fax_number": "305-884-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIALEAH ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-885-2437"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1227096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0-265-730-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hialeah Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.