Individual provider Active NPI

Madelin Marichal, CNA

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1861997769
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
102872200MedicaidFL

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

OrganizationSpecialtyStatusNew patients
Start Professional Care & Support LLC In Home Supportive Care CurrentSince Sep 8, 2025 Accepting new patients
Start Professional Care & Support LLC In Home Supportive Care CurrentSince Sep 23, 2021 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.

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.

Verify at the official NPI Registry.