Organization Active NPI

Senior Home Maker Companion

  • Nursing Facility/Intermediate Care Facility
  • Miami, FL
National Provider Identifier
1902243207
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
SENIOR HOME MAKER COMPANION
Practice address
13440 SW 36 St
Miami, FL 33175
Phone
(786) 502-7397
Fax
(305) 559-6572
NPI assigned
May 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Ms. Marcia Gongora
Title
Owner/President
Phone
(786) 502-7397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X FL Primary

Addresses

Primary practice location

13440 SW 36 St
Miami, FL 33175

Mailing address

557 E Elcam Circle Suite C
Marco Island, FL 34145
Phone (786) 502-7397

National Provider Directory

National Provider Directory

Locations

557 E Elkcam Cir
Ste C
Marco Island, FL 34145

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1902243207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E ELCAM CIRCLE SUITE C",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "34145",
            "telephone_number": "786-502-7397",
            "fax_number": "305-559-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 SW 36 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "786-502-7397",
            "fax_number": "305-559-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME MAKER COMPANION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "GONGORA",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "786-502-7397",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "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 May 28, 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.