NPIMap

Organization Active NPI

Miami VA Healthcare System

  • Nursing Facility/Intermediate Care Facility
  • Miami, FL
National Provider Identifier
1811222417
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
9295849 Issued in FL
Legal business name
MIAMI VA HEALTHCARE SYSTEM
Practice address
10740 SW 88TH St Apt L21
Miami, FL 33176-1440
Phone
(305) 469-1368
Fax
(305) 412-4295
NPI assigned
Oct 15, 2009
Last updated
Oct 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Ms. Sherry Shibing Chan
Title
RN
Phone
(305) 469-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 9295849 FL Primary

Addresses

Primary practice location

10740 SW 88TH St Apt L21
Miami, FL 33176-1440

Mailing address

10740 SW 88TH St Apt L21
Miami, FL 33176-1440

Other identifiers 1

IdentifierTypeStateIssuer
11889900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Miami VA Healthcare System2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1811222417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 SW 88TH ST APT L21",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 SW 88TH ST APT L21",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761440",
            "telephone_number": "305-469-1368",
            "fax_number": "305-412-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VA HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "SHIBING",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "305-469-1368",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "9295849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11889900",
            "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 Oct 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.