Organization Active NPI

Eden Rehab and Spa Inc

  • Rehabilitation Practitioner
  • Miami, FL
National Provider Identifier
1962702647
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
EDEN REHAB AND SPA INC
Practice address
1 Glen Royal Pkwy
301
Miami, FL 33125-5287
Phone
(786) 443-2201
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Miss Yenisley Carnet
Title
President
Phone
(786) 443-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

1 Glen Royal Pkwy
301
Miami, FL 33125-5287

Mailing address

1 Glen Royal Pkwy
301
Miami, FL 33125-5287
Phone (786) 443-2201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1962702647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLEN ROYAL PKWY",
            "address_2": "301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255287",
            "telephone_number": "786-443-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GLEN ROYAL PKWY",
            "address_2": "301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255287",
            "telephone_number": "786-443-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN REHAB AND SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "CARNET",
        "authorized_official_first_name": "YENISLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-443-2201",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 27, 2010; 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.