Organization Active NPI

Wide Health Care Corporation

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1891981072
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WIDE HEALTH CARE CORPORATION
Practice address
7171 Coral Way Ste 310
Miami, FL 33155-1694
Phone
(305) 269-9808
Fax
(306) 269-1649
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Jose A Tillan
Title
President
Phone
(305) 269-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7171 Coral Way Ste 310
Miami, FL 33155-1694

Mailing address

7171 Coral Way Ste 310
Miami, FL 33155-1694
Phone (305) 269-9808

National Provider Directory

National Provider Directory

Locations

7171 SW 24th St
Ste 310
Miami, FL 33155
Phone (305) 269-9808

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1891981072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551694",
            "telephone_number": "305-269-9808",
            "fax_number": "306-269-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551694",
            "telephone_number": "305-269-9808",
            "fax_number": "306-269-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDE HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "TILLAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-269-9808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Oct 28, 2009; 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.