Active NPI
Jackson Health Community Center Corp
- Community/Behavioral Health Agency
- Miami, FL
National Provider Identifier
1902436363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.