NORTH SHORE MEDICAL CENTER, INC. (NPI# 1427670397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427670397 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE MEDICAL CENTER, INC. |
| Practice Address |
1100 Nw 95th St Miami FL 33150-2038 |
| Mailing Address |
Po Box 740926 Atlanta GA 30374-0926 |
| Practice Telephone | 5619822189 |
| Mailing Telephone | 5619822189 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Telephone | 3107758040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HOSPITAL LICENSE | 4133 | 01 |
| Other Name | Type Code |
|---|---|
| NORTH SHORE MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255572228 | North Shore Medical Center, Inc. | General Acute Care Hospital | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2009-03-20 |
| 1720019995 | North Shore Medical Center, Inc. | General Acute Care Hospital | 1100 Nw 95th St, Miami, FL 33150-2038 | 2006-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NORTH SHORE MEDICAL CENTER, INC. | 81 Highland Avenue, Salem, MA 01970 |
| Street Address |
1100 NW 95TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266059 | Daysi Fardales | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2005-06-21 |
| 1215537378 | Garline Bassette | Registered Nurse | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-10-28 |
| 1285250456 | Li Zhang | Pharmacist | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-06-23 |
| 1740801760 | Rosemanie Baptiste | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-04-30 |
| 1306482658 | Marlon Medina | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-11-21 |
| 1811544331 | Yuritza Medina | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-08-20 |
| 1972065597 | Alice Jean-charles | Registered Nurse | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-04-02 |
| 1831663681 | Atlantic Anesthesia Group One Pllc | Nurse Anesthetist, Certified Registered | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-01-15 |
| 1265909998 | Jorge Luis Morales | Nurse Anesthetist, Certified Registered | 1100 Nw 95th St, Miami, FL 33150-2038 | 2018-10-31 |
| 1447734504 | Brenda Arellano | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
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|---|---|---|---|---|
| 1144535204 | Pulmonary Physicians of South Florida | Medicare Defined Swing Bed Unit | 15680 N Kendall Dr Ste 201, Miami, FL 33196-1160 | 2010-08-13 |
| 1528386463 | Jackson Memorial Hospital | Medicare Defined Swing Bed Unit | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2010-05-16 |
| 1023224169 | Integris Baptist Regional Health Center | Medicare Defined Swing Bed Unit | 200 2nd Ave Sw, Miami, OK 74354-6830 | 2007-05-15 |
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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.