Organization Active NPI

Pines Nursing Home 77 Inc

  • Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1841298163
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF 1442096 Issued in FL
Legal business name
PINES NURSING HOME 77 INC
Practice address
301 NE 141St St
Miami, FL 33161-2837
Phone
(305) 893-1102
Fax
(305) 893-2519
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jules Ast, NHA
Title
Executive Director
Phone
(305) 893-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF 1442096 FL Primary

Addresses

Primary practice location

301 NE 141St St
Miami, FL 33161-2837

Mailing address

301 NE 141St St
Miami, FL 33161-2837
Phone (305) 893-1102

Other names 1

  • Pines Nursing Home Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841298163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE 141ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612837",
            "telephone_number": "305-893-1102",
            "fax_number": "305-893-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE 141ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612837",
            "telephone_number": "305-893-1102",
            "fax_number": "305-893-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES NURSING HOME 77 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AST",
        "authorized_official_first_name": "JULES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-893-1102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF 1442096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.