Lifelong Care Corp

Organization Active NPI Family Nurse Practitioner · Hialeah, FL

NPI 1851968291 · NPPES record last updated Feb 11, 2026

Key facts

NPI
1851968291
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
LIFELONG CARE CORP
Practice address
259 E 49TH St
Hialeah, FL 33013
Phone
(305) 918-2021
Fax
(786) 677-8444
NPI assigned
Jun 4, 2021
Organization subpart
No

Authorized official

Name
Mr. Rosbel Mirabal Rodriguez, APRN NPI 1831592377
Title
FNP / Owner
Phone
(786) 238-5581

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2227588Lifelong Care Corp Dba Convenient Medical Center
259 E 49TH St, Hialeah, FL 33013
Certificate of waiverJun 14, 2027
10D2339705Lifelong Care Corp
2630 W Waters Ave, Tampa, FL 33614
Certificate of waiverMar 4, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160112001179 FL Part B Supplier - Clinic/Group Practice 0749582468 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Hialeah, FL

National Provider Directory

Locations

259 E 49th St
Hialeah, FL 33013
Phone (305) 825-0893

4410 W 16th Ave
Ste 55
Hialeah, FL 33012
Phone (305) 824-8559

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

259 E 49TH St
Hialeah, FL 33013

Mailing address

259 E 49TH St
Hialeah, FL 33013-1854
Phone (786) 776-2021

Other practice location 1

2630 W Waters Ave
Tampa, FL 33614-2511
Phone (813) 742-9955

Other names

  • Convenient Medical Center Doing business as

Other providers in Hialeah, FL

All providers in Hialeah, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.