NPIMap

Organization Active NPI

Variety Children's Hospital

Doing business as Nicklaus Children's Hospital

  • Children's Hospital
  • Miami, FL
National Provider Identifier
1871540237
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
4627031 Issued in FL
Legal business name
VARIETY CHILDREN'S HOSPITAL
Doing business as
Nicklaus Children's Hospital
Practice address
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone
(305) 666-6511
Fax
(305) 662-8290
NPI assigned
May 30, 2006
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Matthew Love
Title
Ceo
Phone
(330) 480-3818

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
General Acute Care Hospital 282N00000X NU
Children's Hospital 282NC2000X 4627031 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
Miami, FL 33155-3009

Mailing address

3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 666-6511

Other identifiers 1

IdentifierTypeStateIssuer
010060900MedicaidFL

Other names 1

  • Nicklaus Children's Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000304 FL Part A Provider - Hospital 0840200986 Practice locations: Miami, FL; Weston, FL; Pinecrest, FL; Palmetto Bay, FL; Palm Beach Gardens, FL; Miramar, FL; Homestead, FL; Hialeah, FL…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871540237. Details of each certification follow.

Hospital certification: CCN 103301

Legal name
VARIETY CHILDREN'S HOSPITAL
Doing business as
NICKLAUS CHILDREN'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Mar 22, 1984
Last certification
Aug 10, 2019
Beds
474
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 4, 1963 in FL
Enrollment address
3100 SW 62ND Avenue
Attention: Ceo
Miami, FL 33155-3009
Main/Primary Hospital Location
Hospital subgroups
Children’s, Psychiatric unit, Other

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Nicklaus Children's HospitalCCN 103301 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Miami Children's Hospital32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

990 W 49th St
Hialeah, FL 33012
Phone (786) 624-4800

13400 SW 120th St
Miami, FL 33186
Phone (305) 268-5977

3100 SW 62nd Ave
Ofc
Miami, FL 33155

11310 Legacy Ave
Palm Beach Gardens, FL 33410
Phone (305) 669-6555

17615 SW 97th Ave
Palmetto Bay, FL 33157
Phone (786) 268-1777

11521 S Dixie Hwy
Fl 1
Pinecrest, FL 33156
Phone (786) 624-5112

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Miami Children's Health System Inc Organization, Miami, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 16, 2012 100%
Dawn Javersack Individual Corporate OfficerSVP & Cfo Mar 12, 2020 100%
W-2 Managing EmployeeCfo Mar 15, 2020
Matthew Love Individual Corporate OfficerCeo Jun 28, 2019
W-2 Managing EmployeeCeo Jun 28, 2019
US Bank National Association Organization, Jacksonville, FL Financial institution, For-profit 5% Or Greater Mortgage Interest Dec 1, 2006 28%
5% Or Greater Security Interest Dec 1, 2006 11%
Melissa L Smith Individual W-2 Managing EmployeeSystem VP - Finance Sep 18, 2025

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1871540237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-666-6511",
            "fax_number": "305-662-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-666-6511",
            "fax_number": "305-662-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARIETY CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-480-3818"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "FL",
            "license": "4627031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010060900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicklaus Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nicklaus Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.