JACKSON PLAZA INC (NPI# 1992890099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992890099 |
| Entity Type | Organization |
| Organization Name | JACKSON PLAZA INC |
| Practice Address |
1861 Nw 8th Ave Miami FL 33136-1115 |
| Practice Telephone | 3053473380 |
| Practice Fax Number | 3053473388 |
| Mailing Telephone | 3053473380 |
| Mailing Fax Number | 3053473388 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-02-09 |
| Authorized Official Name | MS. TERRY G ESCOBAR (ADMINISTRATOR) |
| Authorized Official Telephone | 3053473380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1255096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 025372300 | 05 |
| Street Address |
1861 NW 8TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020236 | Audrey Dawson | Psychologist | 1861 Nw 8th Ave, Miami, FL 33136-1115 | 2019-02-28 |
| 1154730596 | Juvin Neil Abingosa Samontina | Physical Therapist | 1861 Nw 8th Ave, Miami, FL 33136-1115 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922583079 | Gg Opco LLC | Skilled Nursing Facility | 220 Sierra Dr, Miami, FL 33179-3855 | 2018-09-25 |
| 1457836504 | Sd Opco LLC | Skilled Nursing Facility | 17475 S Dixie Hwy, Miami, FL 33157-5434 | 2018-09-25 |
| 1356855696 | La Mer Nh LLC | Skilled Nursing Facility | 5280 Sw 157th Ave, Miami, FL 33185-5297 | 2017-11-23 |
| 1881079531 | Mary B. Reyes Ph.d. Pa | Skilled Nursing Facility | 724 Nw 19th St, Miami, FL 33136-1202 | 2015-07-23 |
| 1821438953 | Krystal Bittar LLC | Skilled Nursing Facility | 2622 Sw 32nd Ct, Miami, FL 33133-2804 | 2013-07-03 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1326272907 | Sheridan | Skilled Nursing Facility | 14209 Sw 54th St, Miami, FL 33175-5810 | 2009-05-11 |
| 1134353717 | Sheridan | Skilled Nursing Facility | 9970 Sw 156th Ter, Miami, FL 33157-1643 | 2009-05-11 |
| 1598945651 | Coral Gables Holdings LLC | Skilled Nursing Facility | 7060 Sw 8th St, Miami, FL 33144-4650 | 2007-11-06 |
| 1548350689 | Hebrew Home Sinai Inc | Skilled Nursing Facility | 201 Ne 112th St, Miami, FL 33161-7022 | 2006-10-12 |
| 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.