MEDICARE: LOG CABIN ENTERPRISES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	4083095	FL

General Provider Information

NPI Number	:	1518339035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOG CABIN ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	9040 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3432
Country	:	US
Telephone Number	:	305-273-3024
Fax Number	:	305-598-8240

Provider Business Practice Location Address
First Line	:	22300 SW 162ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33170-3907
Country	:	US
Telephone Number	:	305-245-6150
Fax Number	:

Authorized Official
Title or Position	:	CORPORATE SECRETARY TREASURER
Name	:	DR. JAMES G WEEKS
Credential	:	PH.D.
Telephone Number	:	305-273-3024

Provider Enumeration Date	:	10/23/2015
Last Update Date	:	10/23/2015

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1831243641 — SUNRISE COMMUNITY, INC.
Practice Location Address:

22300 SW 162ND AVE
GOULDS, FL
33170-3907

Practice Phone: 305-242-0600
Practice Fax:

1427104439 — SUNRISE COMMUNITY, INC.
Practice Location Address:

22300 SW 162ND AVE
GOULDS, FL
33170-3907

Practice Phone: 305-248-7116
Practice Fax:

1497891691 — SUNRISE COMMUNITY, INC.
Practice Location Address:

22300 SW 162ND AVE
GOULDS, FL
33170-3907

Practice Phone: 305-245-6150
Practice Fax:

1235148156 — DR. NELSON VEGA M.D.
Practice Location Address:

3837 SW 99TH AVE
MIAMI, FL
33165-3907

Practice Phone: 305-552-1717
Practice Fax: 305-552-1782

1972806735 — ANA ELISA FIGUEIRAS
Practice Location Address:

19110 SW 121ST AVE
MIAMI, FL
33177-3907

Practice Phone: 305-607-3863
Practice Fax:

Directions to “LOG CABIN ENTERPRISES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.