LIFECARE MEDICAL CENTER GROUP LLC
NPI 1053112508
Clinic/Center in Miami, FL
About Lifecare Medical Center Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFECARE MEDICAL CENTER GROUP LLC (NPI 1053112508) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Lissue Rodriguez Miranda, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifecare Medical Center Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Lifecare Medical Center Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2327375
Lifecare Medical Center Group LLC · Miami, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lifecare Medical Center Group LLC's NPI number?
The NPI number for Lifecare Medical Center Group LLC is 1053112508. It was assigned to this organization in the NPPES registry on March 21, 2025.
Where is Lifecare Medical Center Group LLC located?
Lifecare Medical Center Group LLC is located at 14221 SW 120th St Ste 225, Miami, FL 33186. The listed phone number is (786) 608-9889.
What is Lifecare Medical Center Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Lifecare Medical Center Group LLC enrolled in Medicare?
Yes. Lifecare Medical Center Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifecare Medical Center Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lifecare Medical Center Group LLC, in Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lifecare Medical Center Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2327375) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lifecare Medical Center Group LLC accept?
Health plans from Molina Healthcare list Lifecare Medical Center Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lifecare Medical Center Group LLC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lifecare Medical Center Group Llc · NPI 1053112508
Clinic/Center organization in Miami, Florida. Organization record, active in the CMS NPPES registry since March 21, 2025.
## Identity
- **NPI:** 1053112508 (Entity type: Organization)
- **Enumerated:** March 21, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Lissue Rodriguez Miranda, OWNER
## Practice location
- **Address:** 14221 SW 120TH ST STE 225, Miami, FL 33186-4225
- **Phone:** (786) 608-9889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053112508) · Data from the CMS NPPES public registry.