Active NPI
Libia M Gutierrez
- In Home Supportive Care Agency
- Hialeah, FL
National Provider Identifier
1861781304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LIBIA M GUTIERREZ
- Practice address
- 840 SE 10TH PL
Hialeah, FL 33010-5828 - Phone
- (305) 910-5444
- Fax
- (305) 805-5247
- NPI assigned
- Apr 5, 2011
- Last updated
- Apr 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Libia M Gutierrez
- Title
- Cna
- Phone
- (305) 910-5444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | FL | Primary |
Addresses
Primary practice location
840 SE 10TH PL
Hialeah, FL 33010-5828
Mailing address
840 SE 10TH PL
Hialeah, FL 33010-5828
Phone (305) 910-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 689331798 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301961600000",
"number": "1861781304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 SE 10TH PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330105828",
"telephone_number": "305-910-5444",
"fax_number": "305-805-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 SE 10TH PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330105828",
"telephone_number": "305-910-5444",
"fax_number": "305-805-5247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBIA M GUTIERREZ",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "LIBIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CNA",
"authorized_official_telephone_number": "305-910-5444",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "689331798",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.