Active NPI
MD Home Care
- Assisted Living Facility
- Miami Gardens, FL
National Provider Identifier
1922283803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10585
- Legal business name
- MD HOME CARE
- Practice address
- 4857 NW 168TH Ter
Miami Gardens, FL 33055-4272 - Phone
- (305) 430-0775
- NPI assigned
- Jan 9, 2008
- Last updated
- Jan 9, 2008
- 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
- Ms. Madelein Cancela Diaz
- Title
- President
- Phone
- (786) 213-4662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL10585 | FL | Primary |
Addresses
Primary practice location
4857 NW 168TH Ter
Miami Gardens, FL 33055-4272
Mailing address
4857 NW 168TH Ter
Miami Gardens, FL 33055-4272
Phone (305) 430-0775
National Provider Directory
National Provider Directory- Tax ID family
- MD Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1841206000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199836800000",
"number": "1922283803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4857 NW 168TH TER",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330554272",
"telephone_number": "305-430-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4857 NW 168TH TER",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330554272",
"telephone_number": "305-430-0775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-09",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "MADELEIN",
"authorized_official_middle_name": "CANCELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-213-4662",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL10585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.