Active NPI
St Mary Adult Care
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1821252362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10555
- Legal business name
- ST MARY ADULT CARE
- Practice address
- 5716 SW 149TH PL
Miami, FL 33193-3011 - Phone
- (305) 408-0362
- Fax
- (305) 408-0362
- NPI assigned
- Jul 14, 2008
- Last updated
- Feb 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elena L Fernandez
- Title
- Owner
- Phone
- (786) 393-8122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL10555 | FL | Primary |
Addresses
Primary practice location
5716 SW 149TH PL
Miami, FL 33193-3011
Mailing address
PO Box 771120
Miami, FL 33177-0019
Phone (786) 393-8122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142286300 | Medicaid | FL | |
| 689641300 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- St Mary Adult Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- Miami, FL
- NPI 1255500328
-
dba St. Mary Adult Care II
- Assisted Living Facility (Mental Illness)
- Miami, FL
- NPI 1720256829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392768000000",
"number": "1821252362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 771120",
"city": "MIAMI",
"state": "FL",
"postal_code": "331770019",
"telephone_number": "786-393-8122",
"fax_number": "305-408-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 SW 149TH PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331933011",
"telephone_number": "305-408-0362",
"fax_number": "305-408-0362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARY ADULT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2014-02-19",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "ELENA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-393-8122"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL10555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142286300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "689641300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- St Jude Medical Equipment Corp
- St Jude Medical Group Corp (Vidamax Medical Center)
- St Jude Medical Group Corp (Vidamax Medical Center)
- St Jude Medical Group Corp (Vidamax Medical Center)
- Vasthie St Juste, PHARMACIST, PHARM.D.
- St Moses Pharmacy Corp
- Joan Elizabeth St Onge, M.D.
- Theresa Gloria St Philippe, ARNP
- St Rita's Health Group LLC
- St Rita's Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.