MAGNET ADULT HOME SOUTH (NPI# 1730498221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730498221 |
| Entity Type | Organization |
| Organization Name | MAGNET ADULT HOME SOUTH |
| Practice Address |
1451 Nw 40 Street Miami FL 33142 |
| Mailing Address |
6151 Miramar Parkway Miramar FL 33023 |
| Practice Telephone | 3056075549 |
| Mailing Telephone | 3056075549 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |
| Authorized Official Name | MRS. GERDA WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 3056075549 |
| Authorized Official Credential | A.R.N.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
AL11846 | FL | Nursing & Custodial Care Facilities |
| Street Address |
1451 NW 40 STREET |
| City | MIAMI |
| State | FL |
| Zip Code | 33142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861622 | Sofia Catena | Student in an Organized Health Care Education/Training Program | 1611 Nw 42nd Avenue, Miami, FL 33142 | 2020-04-28 |
| 1093334492 | Sentir Medical Center Inc. | Clinic/Center | 1493 Nw 54th St, Miami, FL 33142 | 2020-04-15 |
| 1700427481 | Suncare Therapy, Inc | Physical Therapist | 1251 Nw 36th Street, Miami, FL 33142 | 2019-10-03 |
| 1477070910 | Marcellas Holmes | Behavior Technician | 2500 Nw 59th St Apt B, Miami, FL 33142 | 2017-08-25 |
| 1992228605 | Mobility Medical Transport, Inc | Non-emergency Medical Transport (VAN) | 3590 Nw 49 St, Miami, FL 33142 | 2017-07-25 |
| 1184146540 | Antonio Javaun Davis | Counselor | 1469 Nw 36th Street, Miami, FL 33142 | 2017-07-07 |
| 1467992594 | Lissainet Diaz Sarduy | Behavior Technician | 2992 Nw 49 St, Miami, FL 33142 | 2017-03-08 |
| 1467800169 | Pharmacy Chevalier Inc | Durable Medical Equipment & Medical Supplies | 1553-55 Nw 36 Street, Miami, FL 33142 | 2016-06-03 |
| 1770958811 | Ray Miami Medical Center Corp | General Practice | 3900 Nw 36 St, 594, Miami, FL 33142 | 2015-12-01 |
| 1861861650 | Borinquen Health Care Center Inc | Clinic/Center | 2420 Nw 18 Avenue, Comstock Elementary, Miami, FL 33142 | 2015-09-22 |
| Find all providers in zip 33142 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679062814 | Interdisciplinary Healthcare Services LLC | Assisted Living Facility | 12751 Sw 226 Street, Miami, FL 33170 | 2018-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040354 | Jaime E Hatch | Assisted Living Facility | 86374 Peeples Rd, Yulee, FL 32097-3387 | 2020-10-13 |
| 1730711219 | North Florida Senior Living LLC | Assisted Living Facility | 541103 Lem Turner Rd, Callahan, FL 32011-8546 | 2020-02-12 |
| 1144860206 | Iconnect Jax | Assisted Living Facility | 4372 Southside Blvd Ste 203, Jacksonville, FL 32216-8503 | 2020-01-07 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1790276905 | Villa Rosa Iv, Inc. | Assisted Living Facility | 3051 E. 4 Avenue, Hialeah, FL 33013 | 2018-05-23 |
| 1104368240 | Jermaine Jordan | Assisted Living Facility | 1210 Retreat View Cir, Sanford, FL 32771-7276 | 2016-11-07 |
| 1346617412 | Louise Irving | Assisted Living Facility | 4561 Sw 36th St, West Park, FL 33023-5511 | 2015-08-25 |
| 1821473000 | A-1 Medical and Behavioral Management Svc | Assisted Living Facility | 2822 54th Ave S, # 215, St Petersburg, FL 33712-4610 | 2015-07-29 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1598164576 | Daryn Hall | Assisted Living Facility | 10535 Lem Turner Rd Apt 715, Jacksonville, FL 32218-9113 | 2014-08-15 |
| 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.