Organization Active NPI

Libia M Gutierrez

  • In Home Supportive Care Agency
  • Hialeah, FL
National Provider Identifier
1861781304
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Ms. Libia M GutierrezNPI 1154727154
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
689331798MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.