=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538366299
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIAMI CARE SERVICES CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2775 W OKEECHOBEE RD LOT 49
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33010-1058
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-888-9877
-----------------------------------------------------
Fax | 305-888-9877
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2775 W OKEECHOBEE RD LOT 49
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33010-1058
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-888-9877
-----------------------------------------------------
Fax | 305-888-9877
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. MARIA PILAR ZALDIVAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-310-4922
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | P07000073089
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------