NPIMap

Organization Active NPI

Perez Home Care Corporation

  • Assisted Living Facility
  • North Miami Beach, FL
National Provider Identifier
1962616557
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5787 Issued in FL
Legal business name
PEREZ HOME CARE CORPORATION
Practice address
21201 NE 13TH PL
North Miami Beach, FL 33179-1323
Phone
(305) 652-8152
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Authorized official

Name
Blanca Perez
Title
President
Phone
(305) 652-8152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5787 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X 5787 FL

Addresses

Primary practice location

21201 NE 13TH PL
North Miami Beach, FL 33179-1323

Mailing address

21201 NE 13TH PL
North Miami Beach, FL 33179-1323
Phone (305) 652-8152

Other identifiers 1

IdentifierTypeStateIssuer
141009100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1962616557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21201 NE 13TH PL",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331791323",
            "telephone_number": "305-652-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21201 NE 13TH PL",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331791323",
            "telephone_number": "305-652-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ HOME CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-652-8152"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5787",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "5787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141009100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; 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.