Bka Nurse Registry LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

BKA NURSE REGISTRY LLC

Practice address

5740 SW 156TH CT
Miami, FL 33193-2536

Phone

(305) 457-0464

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Alfredo Betancourt

Title

Amgr

Phone

(305) 457-0464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1932825692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 SW 156TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932536",
            "telephone_number": "305-457-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 SW 156TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932536",
            "telephone_number": "305-457-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKA NURSE REGISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "AMGR",
        "authorized_official_telephone_number": "305-457-0464"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.