Jackson Plaza Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1255096 Issued in FL

Legal business name

JACKSON PLAZA INC

Practice address

1861 NW 8TH Ave
Miami, FL 33136-1115

Phone

(305) 347-3380

Fax

(305) 347-3388

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Terry G Escobar

Title

Administrator

Phone

(305) 347-3380

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1992890099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 NW 8TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361115",
            "telephone_number": "305-347-3380",
            "fax_number": "305-347-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 NW 8TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361115",
            "telephone_number": "305-347-3380",
            "fax_number": "305-347-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PLAZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-347-3380",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1255096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025372300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Memorial Hospital
• Jackson Memorial Rapid Wound Care Inc
• Jackson Pharmacy
• Jackson Pharmacy Corp
• Jackson Pharmacy LLC
• Jackson Preferred Care LLC
• Jackson Rehab Operations LLC.
• Jackson South Community Hospital
• Andrea Jasmine Jackson
• Austin Jackson, DMD

• Skilled Nursing Facility in Miami, FL
• Providers in Miami, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.