JACKSON SOUTH COMMUNITY HOSPITAL (NPI# 1578814265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578814265 |
| Entity Type | Organization |
| Organization Name | JACKSON SOUTH COMMUNITY HOSPITAL |
| Practice Address |
9333 Sw 152 St Miami FL 33156 |
| Mailing Address |
5850 Nw 191st Ter Hialeah FL 33015-5036 |
| Practice Telephone | 3052565311 |
| Practice Fax Number | 3052565304 |
| Mailing Telephone | 3055588826 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| Authorized Official Name | MS. DAYSI QUINTANILLA (ASSOCIATE DIRECTOR OF PATIENTS CARE) |
| Authorized Official Telephone | 3052565311 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | ARNP 2950782 | FL | Hospitals |
| Street Address |
9333 SW 152 ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124548763 | Luis Ruben Diaz-paez | Nurse Practitioner | 9333 Sw 152 St, Emergency Department, Miami, FL 33157 | 2017-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
| 1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
| 1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
| 1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
| 1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
| 1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
| 1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
| 1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
| Find all providers in zip 33156 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831358233 | Alida Reinoso | Psychiatric Hospital | 9130 Sw 100th Avenue Rd, Miami, FL 33176-1767 | 2008-06-02 |
| 1770599268 | Willow Crest Hospital, Inc. | Psychiatric Hospital | 130 A St Sw, Miami, OK 74354-6806 | 2006-08-01 |
| 1700919768 | Larkin Community Hospital | Psychiatric Hospital | 7031 Sw 62nd Avenue, Miami, FL 33143 | 2007-03-13 |
| 1558428714 | Willow Crest Hospital, Inc | Psychiatric Hospital | 130 A St Sw, Miami, OK 74354-6806 | 2007-01-03 |
| 1720145980 | Willow Crest Hospital, Inc | Psychiatric Hospital | 130 A St Sw, Miami, OK 74354-6806 | 2007-01-03 |
| 1538178660 | Westchester General Hospital, Inc. | Psychiatric Hospital | 2500 Sw 75th Ave, Miami, FL 33155-2805 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952839201 | Oglethorpe of Orlando Inc | Psychiatric Hospital | 91 Beehive Cir, Saint Cloud, FL 34769-1432 | 2017-05-31 |
| 1619403359 | Laurie Lambert | Psychiatric Hospital | 14574 92nd Ct N, West Palm Beach, FL 33412-1729 | 2017-05-01 |
| 1538614565 | Dancing Heart Inc. | Psychiatric Hospital | 5520 Haverhill Rd N Apt 24, West Palm Beach, FL 33407-3000 | 2016-08-19 |
| 1285094813 | Southern Winds Hospital LLC | Psychiatric Hospital | 4225 W 20th Ave, Hialeah, FL 33012-5826 | 2016-02-24 |
| 1164812269 | Key Biscayne Psychiatry | Psychiatric Hospital | 240 Crandon Blvd Ste 230, Key Biscayne, FL 33149-1624 | 2015-01-27 |
| 1881096071 | Wilhelm C J Larsen Md Pa | Psychiatric Hospital | 351 Potter Rd, West Palm Beach, FL 33405-3621 | 2014-09-19 |
| 1902218449 | Shick Shadel of Florida LLC | Psychiatric Hospital | 5960 Sw 106th St, Cooper City, FL 33328-6410 | 2014-06-02 |
| 1740614734 | Daniel Leighton Hollar | Psychiatric Hospital | 2387 Parrot Ln, Tallahassee, FL 32303-8333 | 2013-08-26 |
| 1174836092 | Dfdfdf | Psychiatric Hospital | 7156 Colony Club Dr, 309, Lake Worth, FL 33463-7836 | 2010-07-20 |
| 1992967434 | Necdet Cagil | Psychiatric Hospital | 1841 Se Erwin Rd, Port St Lucie, FL 34952-5517 | 2008-06-26 |
| Find all providers with the same taxonomy | ||||
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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.