Organization Active NPI

Jackson Health Community Center Corp

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1902436363
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JACKSON HEALTH COMMUNITY CENTER CORP
Practice address
351 NW 42ND Ave Ste 408
Miami, FL 33126-5689
Phone
(786) 536-5168
Fax
(786) 536-5188
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Maria Alina Sanchez
Title
President
Phone
(786) 656-3266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

351 NW 42ND Ave Ste 408
Miami, FL 33126-5689

Mailing address

351 NW 42ND Ave Ste 408
Miami, FL 33126-5689
Phone (786) 536-5168

National Provider Directory

National Provider Directory

Locations

1490 W 49th Pl
Ste 501502
Hialeah, FL 33012

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1902436363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE STE 408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265689",
            "telephone_number": "786-536-5168",
            "fax_number": "786-536-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE STE 408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265689",
            "telephone_number": "786-536-5168",
            "fax_number": "786-536-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEALTH COMMUNITY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ALINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-656-3266"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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 May 21, 2021; 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.