NPIMap

Organization Active NPI

Miami Dade County Community Action and Human Services Department

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1811315211
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
4997 Issued in FL
Legal business name
MIAMI DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
Practice address
701 NW 1St CT FL 11
Miami, FL 33136-3902
Phone
(786) 469-4600
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mrs. Edeline Beauvais Mondestin, RN, BSN
Title
Acting Chief, Elderly Services
Phone
(786) 469-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 4997 FL Primary

Addresses

Primary practice location

701 NW 1St CT FL 11
Miami, FL 33136-3902

Mailing address

701 NW 1St CT FL 11
Miami, FL 33136-3902
Phone (786) 469-4600

Other identifiers 1

IdentifierTypeStateIssuer
670671100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
County of Dade Board of County Commissioners16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1811315211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW 1ST CT FL 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331363902",
            "telephone_number": "786-469-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 1ST CT FL 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331363902",
            "telephone_number": "786-469-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "MONDESTIN",
        "authorized_official_first_name": "EDELINE",
        "authorized_official_middle_name": "BEAUVAIS",
        "authorized_official_title_or_position": "ACTING CHIEF, ELDERLY SERVICES",
        "authorized_official_telephone_number": "786-469-4600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "4997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670671100",
            "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 Apr 2, 2014; 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.