SPECIALIZED ON-SITE CARE MANAGEMENT, INC. (NPI# 1407074230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407074230 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED ON-SITE CARE MANAGEMENT, INC. |
| Practice Address |
6100 Blue Lagoon Dr Suite 110 Miami FL 33126-2079 |
| Practice Telephone | 3056481940 |
| Practice Fax Number | 3056483279 |
| Mailing Telephone | 3056481940 |
| Mailing Fax Number | 3056483279 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | DR. MARC KAUFMAN (PRESIDENT) |
| Authorized Official Telephone | 3056481940 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
6100 BLUE LAGOON DR SUITE 110 |
| City | MIAMI |
| State | FL |
| Zip Code | 33126-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861931974 | Donald Sinclair Jr. | Social Worker | 6100 Blue Lagoon Dr, Suite 400, Miami, FL 33126-2079 | 2017-02-22 |
| 1891181319 | Primemed Physician Network, LLC | General Practice | 6100 Blue Lagoon Dr, Suite 430, Miami, FL 33126-2079 | 2015-04-10 |
| 1184017162 | Maria Elena Gadea | Nurse Practitioner | 6100 Blue Lagoon Dr, Suite 365, Miami, FL 33126-2079 | 2015-03-14 |
| 1548668890 | Jose R. Nunez | Nurse Practitioner | 6100 Blue Lagoon Dr, Suite 365, Miami, FL 33126-2079 | 2014-12-17 |
| 1013313196 | Marc Kaufman | Internal Medicine | 6100 Blue Lagoon Dr, Suite 110, Miami, FL 33126-2079 | 2014-11-17 |
| 1407256480 | Alejandro Perez | Nurse Practitioner | 6100 Blue Lagoon Dr, 365, Miami, FL 33126-2079 | 2014-08-27 |
| 1417239443 | Therapy Review Systems, Inc | Occupational Therapist | 6100 Blue Lagoon Dr, Suite 235, Miami, FL 33126-2079 | 2011-09-15 |
| 1154625861 | Natsuko Nakahara | Counselor | 6100 Blue Lagoon Dr, Miami, FL 33126-2079 | 2011-01-10 |
| 1356598858 | Maria Cuesta Torres | Family Medicine | 6100 Blue Lagoon Dr, Suite 365, Miami, FL 33126-2079 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1245847136 | Dagmara Jimenez | Case Manager/Care Coordinator | 912 Sw 104th Ave, Miami, FL 33174-2756 | 2020-09-25 |
| 1932715018 | Evelio O Rodriguez | Case Manager/Care Coordinator | 914 Sw 65th Ave, Miami, FL 33144-4832 | 2020-09-23 |
| 1780290627 | Social Integrity Mental Health Corp | Case Manager/Care Coordinator | 13550 Sw 88th St Ste 270b, Miami, FL 33186-1513 | 2020-09-16 |
| 1265045231 | Excellent Social Services LLC | Case Manager/Care Coordinator | 3485 W Flagler St Ste 500, Miami, FL 33135-1046 | 2020-08-28 |
| 1730790338 | Daisys Lucia Sanchez Gonzalez | Case Manager/Care Coordinator | 1233 Nw 54th St, Miami, FL 33142-3857 | 2020-08-17 |
| 1346851177 | Yanetsy Rivero | Case Manager/Care Coordinator | 10313 Sw 24th St, Miami, FL 33165-7982 | 2020-08-14 |
| 1962011536 | Juan Alberto Delgado Brito | Case Manager/Care Coordinator | 110 Fontainebleau Blvd Apt 307, Miami, FL 33172-4571 | 2020-07-29 |
| 1942818547 | Patient Care Solutions LLC | Case Manager/Care Coordinator | 4960 Sw 72nd Ave Ste 305, Miami, FL 33155-5550 | 2020-07-20 |
| 1346868627 | Osvaldo Gonzalez | Case Manager/Care Coordinator | 14902 Sw 173rd Ter, Miami, FL 33187-6756 | 2020-07-13 |
| 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.