Active NPI
Madelin Marichal, CNA
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1861997769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3300 E 5TH Ave
Hialeah, FL 33013-3037 - Phone
- (786) 442-6465
- NPI assigned
- Mar 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3300 E 5TH Ave
Hialeah, FL 33013-3037
Mailing address
3300 E 5TH Ave
Hialeah, FL 33013-3037
Phone (786) 442-6465
Other practice location 1
11117 W Okeechobee Rd Ste 130
Hialeah Gardens, FL 33018-4210
Phone (786) 442-6465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102872200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Start Professional Care & Support LLC | In Home Supportive Care | Current | Accepting new patients |
| Start Professional Care & Support LLC | In Home Supportive Care | Current | Accepting new patients |
| Avanz-Care Nurse Registry LLC | Single Specialty | Current | Accepting new patients |
Locations
11117 W Okeechobee Rd
Ste 130
Hialeah Gdns, FL 33018
Phone (786) 442-6465
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Miami, FL
- NPI 1174490221
Single Specialty
-
- In Home Supportive Care Agency
- Hialeah Gardens, FL
- NPI 1962172395
-
- In Home Supportive Care Agency
- Fort Myers, FL
- NPI 1669351656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1861997769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 E 5TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133037",
"telephone_number": "786-442-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E 5TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133037",
"telephone_number": "786-442-6465"
}
],
"practiceLocations": [
{
"address_1": "11117 W Okeechobee Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Hialeah Gardens",
"state": "FL",
"postal_code": "330184210",
"country_code": "US",
"telephone_number": "786-442-6465",
"fax_number": "305-675-2397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARICHAL",
"first_name": "MADELIN",
"name_prefix": "Mrs.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102872200",
"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 Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.