NPIMap

Organization Active NPI

San Judas Home Care Corp

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1891118766
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
10118 Issued in FL
Legal business name
SAN JUDAS HOME CARE CORP
Practice address
10720 NW 5TH Ave
Miami, FL 33168-3209
Phone
(305) 762-4064
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Grecia Puri
Title
Administrator
Phone
(305) 762-4064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 10118 FL Primary

Addresses

Primary practice location

10720 NW 5TH Ave
Miami, FL 33168-3209

Mailing address

10720 NW 5TH Ave
Miami, FL 33168-3209
Phone (305) 762-4064

National Provider Directory

National Provider Directory
Tax ID family
San Judas Home Care Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1891118766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 NW 5TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683209",
            "telephone_number": "305-762-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 NW 5TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683209",
            "telephone_number": "305-762-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUDAS HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "GRECIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-762-4064"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "10118",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2014; 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.