Mediassist Home Health Care Services Agency Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991776 Issued in FL

Legal business name

MEDIASSIST HOME HEALTH CARE SERVICES AGENCY CORPORATION

Practice address

16235 SW 117TH Ave
Unit 3
Miami, FL 33177-1644

Phone

(305) 971-5155

Fax

(305) 971-5156

NPI assigned

Jun 10, 2006

Last updated

Dec 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Henry Mullales

Title

Ceo

Phone

(305) 971-7155

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1861434557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16235 SW 117TH AVE",
            "address_2": "UNIT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771644",
            "telephone_number": "305-971-5155",
            "fax_number": "305-971-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16235 SW 117TH AVE",
            "address_2": "UNIT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771644",
            "telephone_number": "305-971-5155",
            "fax_number": "305-971-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIASSIST HOME HEALTH CARE SERVICES AGENCY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "MULLALES",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-971-7155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D1101346",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299991776",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651004300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medic Help Home Health Care, Inc.
• Medic Surgical Supply

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.