119Th Street

LBN: Sunrise Community, Inc.
119Th Street is an health care organization with primary practice located at 13350 Sw 119Th St , Miami FL 33186-4572. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Sunrise Community, Inc. can be contacted via phone (305) 382-4166, or through Garcia, Ana Karina via phone (305) 273-3047.

Contact Information

Primary practice address
13350 Sw 119Th St Miami FL 33186-4572
Phone: (305) 382-4166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Ana Karina
Phone: (305) 273-3047

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1376602516
LBN Legal business name Sunrise Community, Inc.
DBA Doing business as 119Th Street
Authorized official Garcia, Ana Karina
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated May 27th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376602516 NPPES
Florida MEDICAID U028062300

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