NPIMap

Organization Active NPI

Hebrew Home of Miami Beach

Doing business as El Ponce de Leon Convalescent

  • Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1932385531
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
11400961 Issued in FL
Legal business name
HEBREW HOME OF MIAMI BEACH
Doing business as
El Ponce de Leon Convalescent
Practice address
335 SW 12TH Ave
Miami, FL 33130-2011
Phone
(305) 545-6695
Fax
(305) 545-0398
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mariuska Ramirez
Title
Business Office Manager
Phone
(305) 545-6695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 11400961 FL Primary

Addresses

Primary practice location

335 SW 12TH Ave
Miami, FL 33130-2011

Mailing address

335 SW 12TH Ave
Miami, FL 33130-2011
Phone (305) 545-6695

Other names 1

  • EL PONCE DE LEON CONVALESCENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
El Ponce de Leon Convalescent3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1932385531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 SW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302011",
            "telephone_number": "305-545-6695",
            "fax_number": "305-545-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302011",
            "telephone_number": "305-545-6695",
            "fax_number": "305-545-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBREW HOME OF MIAMI BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARIUSKA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "305-545-6695"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "11400961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL PONCE DE LEON CONVALESCENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 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.

Verify at the official NPI Registry.