Organization Active NPI

Coral Home Care, Inc.

  • Home Health Agency
  • Doral, FL
National Provider Identifier
1841210226
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
22073096 Issued in FL
Legal business name
CORAL HOME CARE, INC.
Practice address
3785 NW 82 Ave.
Suite 217
Doral, FL 33166-6655
Phone
(305) 644-1819
Fax
(305) 644-9691
NPI assigned
Jul 20, 2006
Last updated
Jun 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Mrs. Teresa De Jesus Avellaneda, C.N.A.
Title
Administrator
Phone
(305) 644-1819

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Health Agency 251E00000X 22073096 FL Primary

Addresses

Primary practice location

3785 NW 82 Ave.
Suite 217
Doral, FL 33166-6655

Mailing address

3785 NW 82 Ave.
Suite 217
Doral, FL 33166-6655
Phone (305) 644-1819

Other identifiers 2

IdentifierTypeStateIssuer
650821900MedicaidFL
684881800MedicaidFL

National Provider Directory

National Provider Directory

Locations

3785 NW 82nd Ave
Ste 217
Doral, FL 33166
Phone (305) 644-1819

17680 NW 78th Ave
Ste 101
Hialeah, FL 33015
Phone (305) 644-1819

1149 SW 27th Ave
Ste 303
Miami, FL 33135
Phone (305) 644-1819

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1841210226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 NW 82 AVE.",
            "address_2": "SUITE 217",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666655",
            "telephone_number": "305-644-1819",
            "fax_number": "305-644-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 NW 82 AVE.",
            "address_2": "SUITE 217",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666655",
            "telephone_number": "305-644-1819",
            "fax_number": "305-644-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "AVELLANEDA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-644-1819",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.N.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "22073096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650821900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684881800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.