Elohim Bara / Rapha Home & Hospital for the Aged Corp

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

P222996 Issued in FL

Legal business name

ELOHIM BARA / RAPHA HOME & HOSPITAL FOR THE AGED CORP

Doing business as

Ebr Home & Hospital for the Aged Corp

Practice address

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

Phone

(786) 201-0137

NPI assigned

Aug 6, 2010

Last updated

Aug 6, 2010By 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

Title

President

Phone

(786) 390-6582

Specialties & licenses 2

Addresses

Other names 1

• EBR HOME & HOSPITAL FOR THE AGED CORP Doing business as

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1821303470",
    "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": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "DJENANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-390-6582",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "FL",
            "license": "P222996",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "P222996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EBR HOME & HOSPITAL FOR THE AGED CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Early Intervention Provider Agency in North Miami, FL
• Providers in North Miami, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.