Organization Active NPI

Charlee of Dade County

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1861697138
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW7462 Issued in FL
Legal business name
CHARLEE OF DADE COUNTY
Practice address
155 South Miami Ave.
Suite 700
Miami, FL 33130
Phone
(305) 779-9600
Fax
(305) 779-9608
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Suzanne Schumer, LCSW
Title
Ceo
Phone
(305) 779-9641

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CHA 1106 3239 89 FL
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X SW7462 FL Primary

Addresses

Primary practice location

155 South Miami Ave.
Suite 700
Miami, FL 33130

Mailing address

155 South Miami Ave.
Suite 700
Miami, FL 33130
Phone (305) 779-9600

Other identifiers 2

IdentifierTypeStateIssuer
751433601MedicaidFL
751433600MedicaidFL

Other names 1

  • CHARLEE Homes for Children Other name

National Provider Directory

National Provider Directory
Tax ID family
Charlee Homes for Children2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

155 S Miami Ave
Ste 700
Miami, FL 33130
Phone (305) 779-9600

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1861697138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SOUTH MIAMI AVE.",
            "address_2": "SUITE 700",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33130",
            "telephone_number": "305-779-9600",
            "fax_number": "305-779-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SOUTH MIAMI AVE.",
            "address_2": "SUITE 700",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33130",
            "telephone_number": "305-779-9600",
            "fax_number": "305-779-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLEE OF DADE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "SCHUMER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-779-9641",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "CHA 1106 3239 89",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW7462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751433601",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751433600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLEE Homes for Children",
            "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 Sep 6, 2012; 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.