Blue Heaven Rehabilitation Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

BLUE HEAVEN REHABILITATION INC

Practice address

4355 W 16TH Ave
202 A
Hialeah, FL 33012-7666

Phone

(305) 551-2400

Fax

(305) 551-3989

NPI assigned

Jul 25, 2006

Last updated

Jun 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Yamilka Cortina

Title

Administrator

Phone

(305) 551-2400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1982626081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE",
            "address_2": "202 A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127666",
            "telephone_number": "305-551-2400",
            "fax_number": "305-551-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE",
            "address_2": "202 A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127666",
            "telephone_number": "305-551-2400",
            "fax_number": "305-551-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HEAVEN REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "CORTINA",
        "authorized_official_first_name": "YAMILKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-551-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Angels Behavior Therapy LLC
• Blue Clinical Center LLC
• Blue Dandelion Integrative Therapy, LLC
• Blue Health Care, Inc
• Blue Heaven Rehabilitation Inc
• Blue Horizon Interventional Pulmonary Corp
• Blue Horizon Rehab Medical, Corp.
• Blue Lagoon Medical Center Inc
• Blue Lake Medical Center, Inc.
• Blue Leaf Med Supplies Inc

• Rehabilitation Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.