1831397009 NPI number — ISA ADULT HOME CARE INC

Table of content: (NPI 1831397009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831397009 NPI number — ISA ADULT HOME CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ISA ADULT HOME CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831397009
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4363 SW 146 AVE.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33175
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-392-0354
Provider Business Mailing Address Fax Number:
786-485-3030

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4363 SW 146 AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33175
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-392-0354
Provider Business Practice Location Address Fax Number:
786-485-3030
Provider Enumeration Date:
07/10/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ESPINO
Authorized Official First Name:
MILEYDIS
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
786-257-9545

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  AL9623 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 141985400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 102357400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".