San Judas Home Care III

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12298 Issued in FL

Legal business name

SAN JUDAS HOME CARE III

Practice address

251 NW 108TH St
Miami, FL 33168-3222

Phone

(786) 222-5469

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Grecia Puri

Title

Administration

Phone

(305) 222-5456

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1881026136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 NW 108TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683222",
            "telephone_number": "786-222-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 NW 108TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683222",
            "telephone_number": "786-222-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUDAS HOME CARE III",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GRECIA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "305-222-5456"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007396600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Judas Alf Group, Inc
• San Judas Assisted Living Facility, Inc.
• San Judas Home Care Corp
• San Judas Home Care Corporation
• San Judas Home Care II
• San Judas Medical Center . Inc
• San Judas Tadeo Community Adult Day Care Corp
• San Judas Tadeo Physical Therapy Center LLC
• San Lazaro Alf Corp.
• San Lazaro Medical Group, Inc

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.