Organization Active NPI

Jesus Home Care Inc

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1811103849
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
9438 Issued in FL
Legal business name
JESUS HOME CARE INC
Practice address
3401 SW 72ND CT
Miami, FL 33155-3671
Phone
(305) 269-4823
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Eduardo Gomez
Title
President
Phone
(305) 269-4823

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9438 FL
Assisted Living Facility (Mental Illness) 3104A0625X 9438 FL Primary

Addresses

Primary practice location

3401 SW 72ND CT
Miami, FL 33155-3671

Mailing address

3401 SW 72ND CT
Miami, FL 33155-3671
Phone (305) 269-4823

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1811103849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SW 72ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553671",
            "telephone_number": "305-269-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SW 72ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553671",
            "telephone_number": "305-269-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-269-4823"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9438",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "9438",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 29, 2007; 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.