PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1134116320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134116320 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Other Organization Name | JACKSON MEMORIAL LONG TERM CARE CENTER |
| Practice Address |
2500 Nw 22nd Ave Miami FL 33142-8429 |
| Practice Telephone | 7864663000 |
| Practice Fax Number | 3056386856 |
| Mailing Telephone | 7864663000 |
| Mailing Fax Number | 3056386856 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | MS. MARIA N. MAYOR (ADMINISTRATOR) |
| Authorized Official Telephone | 7864663000 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1243096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020416100 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson Memorial Long Term Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871705558 | Public Health Trust of Dade County Florida | Clinic/Center | 14701 Nw 27th Ave, Opa Locka, FL 33054-3350 | 2007-05-04 |
| 1427120856 | Public Health Trust of Dade County Florida | Clinic/Center | 1660 Nw 7th Ct, Highland Pavillion, Miami, FL 33136-1420 | 2006-11-14 |
| 1194897421 | Public Health Trust of Dade County Florida | Legal Medicine | 1851 Nw 10th Ave, Miami, FL 33136-1054 | 2006-11-14 |
| 1295806727 | Public Health Trust of Dade County Florida | Pharmacy | 9333 Sw 152 Street, Miami, FL 33157 | 2006-11-13 |
| 1790856458 | Public Health Trust of Dade County Florida | Pharmacy | 901 Nw 17th St Ste D, Miami, FL 33136-1135 | 2006-11-13 |
| 1124062542 | Public Health Trust of Dade County Florida | Anesthesiology | 1611 Nw 12th Avenue, Miami, FL 33136 | 2006-06-15 |
| 1710358163 | Public Health Trust of Dade County Florida | Clinic/Center | 615 5th St, Miami Beach, FL 33139-6515 | 2015-10-12 |
| 1053789313 | Public Health Trust of Dade County Florida | Pharmacy | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2015-09-03 |
| 1831340900 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| 1487805651 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| Street Address |
2500 NW 22ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33142-8429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962561993 | Jorge Madera | Pharmacist | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2006-12-06 |
| 1891709580 | Jose Ramon Valiente | Pharmacist | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2006-07-28 |
| 1851305494 | Gloria Maria Garcia | Social Worker | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2006-07-28 |
| 1144240276 | Jose Luis Acosta | Pharmacist | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2006-07-20 |
| 1447277025 | Yuvonne Martin | Nurse Practitioner | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2006-07-17 |
| 1033136007 | Renaud Saint-vil | Internal Medicine | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2006-07-16 |
| 1346276581 | Public Health Trust of Dade County Florida | Pharmacy | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861622 | Sofia Catena | Student in an Organized Health Care Education/Training Program | 1611 Nw 42nd Avenue, Miami, FL 33142 | 2020-04-28 |
| 1093334492 | Sentir Medical Center Inc. | Clinic/Center | 1493 Nw 54th St, Miami, FL 33142 | 2020-04-15 |
| 1700427481 | Suncare Therapy, Inc | Physical Therapist | 1251 Nw 36th Street, Miami, FL 33142 | 2019-10-03 |
| 1477070910 | Marcellas Holmes | Behavior Technician | 2500 Nw 59th St Apt B, Miami, FL 33142 | 2017-08-25 |
| 1992228605 | Mobility Medical Transport, Inc | Non-emergency Medical Transport (VAN) | 3590 Nw 49 St, Miami, FL 33142 | 2017-07-25 |
| 1184146540 | Antonio Javaun Davis | Counselor | 1469 Nw 36th Street, Miami, FL 33142 | 2017-07-07 |
| 1467992594 | Lissainet Diaz Sarduy | Behavior Technician | 2992 Nw 49 St, Miami, FL 33142 | 2017-03-08 |
| 1467800169 | Pharmacy Chevalier Inc | Durable Medical Equipment & Medical Supplies | 1553-55 Nw 36 Street, Miami, FL 33142 | 2016-06-03 |
| 1770958811 | Ray Miami Medical Center Corp | General Practice | 3900 Nw 36 St, 594, Miami, FL 33142 | 2015-12-01 |
| 1861861650 | Borinquen Health Care Center Inc | Clinic/Center | 2420 Nw 18 Avenue, Comstock Elementary, Miami, FL 33142 | 2015-09-22 |
| Find all providers in zip 33142 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922583079 | Gg Opco LLC | Skilled Nursing Facility | 220 Sierra Dr, Miami, FL 33179-3855 | 2018-09-25 |
| 1457836504 | Sd Opco LLC | Skilled Nursing Facility | 17475 S Dixie Hwy, Miami, FL 33157-5434 | 2018-09-25 |
| 1356855696 | La Mer Nh LLC | Skilled Nursing Facility | 5280 Sw 157th Ave, Miami, FL 33185-5297 | 2017-11-23 |
| 1881079531 | Mary B. Reyes Ph.d. Pa | Skilled Nursing Facility | 724 Nw 19th St, Miami, FL 33136-1202 | 2015-07-23 |
| 1821438953 | Krystal Bittar LLC | Skilled Nursing Facility | 2622 Sw 32nd Ct, Miami, FL 33133-2804 | 2013-07-03 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1326272907 | Sheridan | Skilled Nursing Facility | 14209 Sw 54th St, Miami, FL 33175-5810 | 2009-05-11 |
| 1134353717 | Sheridan | Skilled Nursing Facility | 9970 Sw 156th Ter, Miami, FL 33157-1643 | 2009-05-11 |
| 1598945651 | Coral Gables Holdings LLC | Skilled Nursing Facility | 7060 Sw 8th St, Miami, FL 33144-4650 | 2007-11-06 |
| 1548350689 | Hebrew Home Sinai Inc | Skilled Nursing Facility | 201 Ne 112th St, Miami, FL 33161-7022 | 2006-10-12 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.