Organization Active NPI

Plaza Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • North Miami, FL
National Provider Identifier
1962549535
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1448096 Issued in FL
Legal business name
PLAZA NURSING & REHABILITATION CENTER
Practice address
14601 NE 16TH Ave
North Miami, FL 33161-2614
Phone
(305) 945-7631
Fax
(305) 956-5603
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. Barry Preter, NHA
Title
Administrator
Phone
(305) 945-7631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1448096 FL Primary

Addresses

Primary practice location

14601 NE 16TH Ave
North Miami, FL 33161-2614

Mailing address

14601 NE 16TH Ave
North Miami, FL 33161-2614
Phone (305) 945-7631

Other identifiers 1

IdentifierTypeStateIssuer
028481500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1962549535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 NE 16TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331612614",
            "telephone_number": "305-945-7631",
            "fax_number": "305-956-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 NE 16TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331612614",
            "telephone_number": "305-945-7631",
            "fax_number": "305-956-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA NURSING & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "PRETER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-945-7631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1448096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028481500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.