Active NPI
J & J Home & Community Support Corp
- In Home Supportive Care Agency
- Miami, FL
National Provider Identifier
1881317204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- J & J HOME & COMMUNITY SUPPORT CORP
- Practice address
- 2450 SW 137 Ave
Suite 225
Miami, FL 33175-6332 - Phone
- (786) 409-2722
- Fax
- (786) 618-9184
- NPI assigned
- Sep 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jorge Luis Gonzalez, M.S.
- Title
- Administrator
- Phone
- (786) 409-2722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2450 SW 137 Ave
Suite 225
Miami, FL 33175-6332
Mailing address
2450 SW 137 Ave
Suite 225
Miami, FL 33175-6332
Phone (786) 409-2722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114913500 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- J J Home Community Support Corp
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Marathon, FL
- NPI 1245091560
-
- In Home Supportive Care Agency
- Miami, FL
- NPI 1285979591
-
- Developmental Disabilities Clinic/Center
- Miami, FL
- NPI 1790611739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1881317204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 SW 137 AVE",
"address_2": "SUITE 225",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756332",
"telephone_number": "786-409-2722",
"fax_number": "786-618-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 SW 137 AVE",
"address_2": "SUITE 225",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756332",
"telephone_number": "786-409-2722",
"fax_number": "786-618-9184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J & J HOME & COMMUNITY SUPPORT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-409-2722",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114913500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.