Individual provider Active NPI

Sergio Rios

  • In Home Supportive Care Agency
  • Miami Lakes, FL
National Provider Identifier
1841702990
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
5979 NW 151St St Ste 102I
Miami Lakes, FL 33014
Phone
(786) 953-5120
NPI assigned
Oct 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
In Home Supportive Care Agency 253Z00000X FL Primary

Addresses

Primary practice location

5979 NW 151St St Ste 102I
Miami Lakes, FL 33014

Mailing address

1630 W 46TH St Apt 310
Hialeah, FL 33012-2814
Phone (786) 333-0125

Other practice location 1

7941 W 30th Ln
Hialeah, FL 33018-3831
Phone (305) 824-0230

Other practice location 2

1630 W 46th St Apt 310
Hialeah, FL 33012-2814
Phone (786) 333-0125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Specialists of South Florida Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1841702990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W 46TH ST APT 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122814",
            "telephone_number": "786-333-0125",
            "fax_number": "305-907-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 102I",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "786-953-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7941 W 30th Ln",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330183831",
            "country_code": "US",
            "telephone_number": "305-824-0230",
            "fax_number": "305-907-5322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 W 46th St Apt 310",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330122814",
            "country_code": "US",
            "telephone_number": "786-333-0125",
            "fax_number": "305-907-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "SERGIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.