NPIMap

Organization Active NPI

Easter Seals South Florida, Inc.

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1972080299
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9423 Issued in FL
Legal business name
EASTER SEALS SOUTH FLORIDA, INC.
Practice address
11025 SW 84TH St Ste 12
Miami, FL 33173-3856
Phone
(305) 325-0470
NPI assigned
Jul 20, 2018
Organization subpart
Yes
Parent organization
EASTER SEALS SOUTH FLORIDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Camila Rocha
Title
President/ Ceo
Phone
(305) 547-4727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9423 FL Primary

Addresses

Primary practice location

11025 SW 84TH St Ste 12
Miami, FL 33173-3856

Mailing address

1475 NW 14TH Ave
Miami, FL 33125-1692
Phone (305) 325-0470

Other identifiers 1

IdentifierTypeStateIssuer
100298100MedicaidFL

Other names 1

  • Easter Seals Therapeutic Day Care - Kendall Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals South Florida6 organizations share this tax ID, including this one
Part of
Easter Seals South Florida

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1972080299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 NW 14TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251692",
            "telephone_number": "305-325-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 SW 84TH ST STE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733856",
            "telephone_number": "305-325-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS SOUTH FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTER SEALS SOUTH FLORIDA, INC.",
        "enumeration_date": "2018-07-20",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "CAMILA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "305-547-4727"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100298100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals Therapeutic Day Care - Kendall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Easter Seals Therapeutic Day Care - Kendall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2024; 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.