NPIMap

Organization Active NPI

Ccad of South Florida, Inc.

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1962787564
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CCAD OF SOUTH FLORIDA, INC.
Practice address
1031 Ives Dairy Rd
Suite 228
Miami, FL 33179-2538
Phone
(561) 577-5416
NPI assigned
Oct 14, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Charles F RidleyNPI 1518242114
Title
Ceo
Phone
(561) 577-5416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1031 Ives Dairy Rd
Suite 228
Miami, FL 33179-2538

Mailing address

1031 Ives Dairy Rd
Suite 228
Miami, FL 33179-2538
Phone (561) 577-5416

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1962787564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD",
            "address_2": "SUITE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792538",
            "telephone_number": "561-577-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD",
            "address_2": "SUITE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792538",
            "telephone_number": "561-577-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCAD OF SOUTH FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-577-5416"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 14, 2011; 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.