BLANCA M PORTILLO (NPI# 1013475490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013475490 |
| Entity Type | Individual |
| Full Name | BLANCA M PORTILLO |
| Practice Address |
12485 Sw 137th Ave Ste 212 Miami FL 33186-4217 |
| Practice Telephone | 7866865540 |
| Practice Fax Number | 7866865541 |
| Mailing Telephone | 7866865540 |
| Mailing Fax Number | 7866865541 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
12485 SW 137TH AVE STE 212 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164873725 | Sonam Group Inc | Durable Medical Equipment & Medical Supplies | 12485 Sw 137th Ave Ste 212, Miami, FL 33186-4217 | 2016-06-24 |
| 1962989384 | Tocovia C Whipple | Registered Nurse | 12485 Sw 137th Ave Ste 212, Miami, FL 33186-4217 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325639 | Goldencare Home Health Services, Inc. | Home Health | 13701 Sw 88th St Ste 307, Miami, FL 33186-1309 | 2020-10-26 |
| 1780282616 | Croy & Nroy LLC | Home Health | 99 Nw 183rd St Ste 242c, Miami, FL 33169-4551 | 2020-10-13 |
| 1740888932 | Dfd Health Services Inc | Home Health | 10691 Sw 88th St Ste 314, Miami, FL 33176-1551 | 2020-10-12 |
| 1528675170 | Better Services Home Health Corp. | Home Health | 10689 N Kendall Dr Ste 229, Miami, FL 33176-8710 | 2020-09-28 |
| 1326653213 | Holistic Wellness Home Health Care LLC | Home Health | 16201 Sw 95th Ave Ste 305, Miami, FL 33157-3401 | 2020-09-09 |
| 1487268447 | Blessed Hands Home Services Corp | Home Health | 5541 Sw 136th Ct, Miami, FL 33175-6032 | 2020-09-06 |
| 1336752781 | No Junk Food Zone LLC | Home Health | 37 Nw 47th Ter, Miami, FL 33127-2411 | 2020-08-26 |
| 1003428285 | Biogencia, LLC | Home Health | 235 Se 1st St, Miami, FL 33131-1901 | 2020-08-19 |
| 1164034310 | L & A Angel Care Inc | Home Health | 14331 Sw 120th St Ste 108, Miami, FL 33186-7298 | 2020-08-19 |
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 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.