NPIMap

Organization Active NPI

Miami-Dade County Community Action and Human Services Department

  • Community/Behavioral Health Agency
  • Homestead, FL
National Provider Identifier
1992123517
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8844 Issued in FL
Legal business name
MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
Practice address
653 SW 4TH St
Homestead, FL 33030-6911
Phone
(305) 242-7676
Fax
(305) 242-7678
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mrs. Edeline Beauvais Mondestin, RN, BSN
Title
Acting Chief, Elderly Services
Phone
(786) 469-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8844 FL Primary

Addresses

Primary practice location

653 SW 4TH St
Homestead, FL 33030-6911

Mailing address

653 SW 4TH St
Homestead, FL 33030-6911
Phone (305) 242-7676

Other identifiers 1

IdentifierTypeStateIssuer
670671100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
County of Dade Board of County Commissioners16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

653 SW 4th St
Homestead, FL 33030
Phone (305) 242-7676

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1992123517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 SW 4TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306911",
            "telephone_number": "305-242-7676",
            "fax_number": "305-242-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 SW 4TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306911",
            "telephone_number": "305-242-7676",
            "fax_number": "305-242-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "MONDESTIN",
        "authorized_official_first_name": "EDELINE",
        "authorized_official_middle_name": "BEAUVAIS",
        "authorized_official_title_or_position": "ACTING CHIEF, ELDERLY SERVICES",
        "authorized_official_telephone_number": "786-469-4600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "8844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670671100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.