Elohim Bara / Rapha Home & Hospital for the Aged Corp

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

ELOHIM BARA / RAPHA HOME & HOSPITAL FOR THE AGED CORP

Practice address

1175 NW 132ND St
North Miami, FL 33168-6625

Phone

(786) 201-0137

NPI assigned

Mar 7, 2009

Last updated

Jul 21, 2022By 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

Mrs. Djenane Jean, NR

Title

PR

Phone

(786) 201-0137

Specialties & licenses 1

Addresses

Other names 1

• EBR HOME & HOSPITAL Other name

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

{
    "created_epoch": "1236384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790926541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NW 132ND ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331686625",
            "telephone_number": "786-201-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NW 132ND ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331686625",
            "telephone_number": "786-201-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOHIM BARA / RAPHA HOME & HOSPITAL FOR THE AGED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "DJENANE",
        "authorized_official_title_or_position": "PR",
        "authorized_official_telephone_number": "786-201-0137",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NR"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBR HOME & HOSPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Exclusive Provider Organization in North Miami, FL
• Providers in North Miami, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.