Ccad of South Florida, Inc.

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

Organization subpart

No

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

Authorized official

Name

Charles F Ridley

Title

Ceo

Phone

(561) 577-5416

Specialties & licenses 1

Addresses

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": []
}

• Jennifer Cazy
• Juliana Alejandra Cazzaniga
• CBC Imaging Center LLC
• CC Pharmacy Discount & Supply Corp
• Cca Medical Equipment, Inc.
• CCC Home Care Support LLC
• CCR Medical Center, LLC.
• CCRM Florida LLC
• CCRM Florida LLC
• CCRM Florida LLC

• Case Management Agency in Miami, FL
• Providers in Miami, FL by specialty
• Case Management Agency in Florida

• 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.