Organization Active NPI

Shan Group LLC

  • Home Health Agency
  • North Miami Beach, FL
National Provider Identifier
1891097747
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHAN GROUP LLC
Practice address
15251 NE 18TH Ave
Suite 9 and 11
North Miami Beach, FL 33162-6039
Phone
(305) 627-3103
Fax
(305) 627-3421
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Mr. Ali Mandsaurwala
Title
Owner
Phone
(305) 627-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15251 NE 18TH Ave
Suite 9 and 11
North Miami Beach, FL 33162-6039

Mailing address

15251 NE 18TH Ave
Suite 9 and 11
North Miami Beach, FL 33162-6039
Phone (305) 627-3103

Other names 1

  • Accessible Home Health Care of Aventura Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2021588Accessible Home Health Care of Aventura15251 NE 18TH Ave, Ste 9, North Miami Beach, FL 33162Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory

Locations

15251 NE 18th Ave
Ste 11
North Miami Beach, FL 33162
Phone (305) 627-3103

13899 Biscayne Blvd
Ste 148
North Miami Beach, FL 33181
Phone (305) 627-3103

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1891097747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15251 NE 18TH AVE",
            "address_2": "SUITE 9 AND 11",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331626039",
            "telephone_number": "305-627-3103",
            "fax_number": "305-627-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 NE 18TH AVE",
            "address_2": "SUITE 9 AND 11",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331626039",
            "telephone_number": "305-627-3103",
            "fax_number": "305-627-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MANDSAURWALA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-627-3103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accessible Home Health Care of Aventura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.