NPIMap

Organization Active NPI

Chen Neighborhood Medical Centers of South Florida LLC

Doing business as Chen Senior Medical Center Carol City

  • Non-Pharmacy Dispensing Site
  • Miami Gardens, FL
National Provider Identifier
1992458558
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC
Doing business as
Chen Senior Medical Center Carol City
Practice address
4692 NW 183Rd St
Miami Gardens, FL 33055-3054
Phone
(786) 625-7774
Fax
(786) 625-7714
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Mary Chen
Title
Authorized Official
Phone
(305) 628-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

4692 NW 183Rd St
Miami Gardens, FL 33055-3054

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other names 1

  • Chen Senior Medical Center Carol City Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2255191Chen Senior Medical Center - Carol City4692 NW 183Rd Street, Miami Gardens, FL 33055Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Chen Neighborhood Medical Aventura LLC14 organizations share this tax ID, including this one
Part of
Chen Neighborhood Medical Aventura LLC

Other organizations with this tax ID 13

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

View all 13

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1992458558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4692 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553054",
            "telephone_number": "786-625-7774",
            "fax_number": "786-625-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chen Senior Medical Center Carol City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.