BRISTOL HOSPICE - MIAMI DADE, LLC (NPI# 1679011720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679011720 |
| Entity Type | Organization |
| Organization Name | BRISTOL HOSPICE - MIAMI DADE, LLC |
| Practice Address |
5201 Blue Lagoon Dr Suite 570 Miami FL 33126-2064 |
| Mailing Address |
206 N 2100 W Suite 202 Salt Lake City UT 84116-4740 |
| Practice Telephone | 8016562769 |
| Practice Fax Number | 5014783588 |
| Mailing Telephone | 8013250175 |
| Mailing Fax Number | 8014783588 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | GERRY CHRISTENSEN (EXEC. VP/CFO) |
| Authorized Official Telephone | 8014330932 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | BRISTOL HOSPICE, L.L.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105421900 | 05 |
| Street Address |
5201 BLUE LAGOON DR SUITE 570 |
| City | MIAMI |
| State | FL |
| Zip Code | 33126-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184816548 | Paola Andrea Rodriguez | Counselor | 5201 Blue Lagoon Dr, Miami, FL 33126-2064 | 2007-08-09 |
| 1780061945 | Restoring Minds Counseling Service | Social Worker | 5201 Blue Lagoon Dr, 8th Floor, Miami, FL 33126-2064 | 2015-04-27 |
| 1033535869 | Health Plans Path Corp | Exclusive Provider Organization | 5201 Blue Lagoon Dr, Suite 815, Miami, FL 33126-2064 | 2014-03-18 |
| 1679891709 | Doctors @ Your Home Inc. | Personal Emergency Response Attendant | 5201 Blue Lagoon Dr, Ph, Miami, FL 33126-2064 | 2010-05-13 |
| 1013157668 | Florida Trust Network | Case Management | 5201 Blue Lagoon Dr, Suite 270, Miami, FL 33126-2064 | 2009-02-23 |
| 1811145394 | Makid Health Care Corp. | Home Health | 5201 Blue Lagoon Dr, 948, Miami, FL 33126-2064 | 2008-09-08 |
| 1295995918 | Diabetes Living Systems, LLC | Durable Medical Equipment & Medical Supplies | 5201 Blue Lagoon Dr, Suite 260, Miami, FL 33126-2064 | 2008-06-16 |
| 1114192481 | Abella Montesinos and Associates Inc | Durable Medical Equipment & Medical Supplies | 5201 Blue Lagoon Dr, Suite 260, Miami, FL 33126-2064 | 2008-04-28 |
| 1215102017 | Florida Managed Care Systems | Case Management | 5201 Blue Lagoon Dr, Suite 270, Miami, FL 33126-2064 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538363783 | Csi Pioneer, Inc. | Hospice Care, Community Based | 10300 Sw 72nd St Ste 410, Miami, FL 33173-3019 | 2007-06-12 |
| 1841310026 | New Horizons Cmhc | Hospice Care, Community Based | 1313 Nw 36th St, Suite 400, Miami, FL 33142-5581 | 2007-03-30 |
| 1912932948 | Hospice of The Palm Coast Inc | Hospice Care, Community Based | 6161 Blue Lagoon Drive, Suite 170, Miami, FL 33126-2045 | 2006-07-11 |
| 1013910629 | Priority Home Health Inc. | Hospice Care, Community Based | 175 Fontainebleau Blvd, Ste 2j3, Miami, FL 33172-4511 | 2005-05-27 |
| 1033753793 | Opuscare of Florida LLC | Hospice Care, Community Based | 6900 Sw 80th St, Miami, FL 33143-4931 | 2019-11-05 |
| 1003226101 | Seasons Hospice & Palliative Care of Broward Florida, Inc | Hospice Care, Community Based | 5200 Ne 2nd Ave, Fl 3, Miami, FL 33137-2706 | 2014-04-29 |
| 1639414006 | Lhcg Xxxv, LLC | Hospice Care, Community Based | 115 S Main St, Miami, OK 74354-7024 | 2012-12-11 |
| 1841517281 | Seasons Hospice & Palliative Care of Southern Florida, Inc | Hospice Care, Community Based | 5200 Ne 2nd Ave, Miami, FL 33137-2706 | 2010-04-26 |
| 1114159902 | Odyssey Healthcare of Marion County, LLC | Hospice Care, Community Based | 6161 Blue Lagoon Drive, Suite 170, Miami, FL 33126-2045 | 2009-08-13 |
| 1124139100 | Heaven and Earth Hospice, LLC. | Hospice Care, Community Based | 3 S Main St, Miami, OK 74354-7022 | 2006-08-31 |
| 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.