NPIMap

Organization Active NPI

Forties Staffing, Inc

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1821469362
Registry record updated May 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
234112 Issued in FL
Legal business name
FORTIES STAFFING, INC
Practice address
15390 SW 144TH Ave
Miami, FL 33177
Phone
(786) 357-0013
Fax
(305) 859-4253
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2018

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

Authorized official

Name
Mrs. Majela Hernandez
Title
Administrator
Phone
(786) 357-0013

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 234112 FL Primary
Adult CompanionGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372600000X 234112 FL
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X 234112 FL

Addresses

Primary practice location

15390 SW 144TH Ave
Miami, FL 33177

Mailing address

15390 SW 144TH Ave
Miami, FL 33177-1061
Phone (786) 357-0013

Other identifiers 1

IdentifierTypeStateIssuer
1821469362MedicaidFL

Other names 1

  • FORTIES HOME CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527465600000",
    "number": "1821469362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15390 SW 144TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771061",
            "telephone_number": "786-357-0013",
            "fax_number": "305-859-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15390 SW 144TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "786-357-0013",
            "fax_number": "305-859-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIES STAFFING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2018-05-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MAJELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-357-0013",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234112",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "234112",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821469362",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORTIES HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FORTIES HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2018; 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.