UNITED WELLCARE CENTER &THERAPY MEDICAL REHABILITATION (THERAPY MEDICAL REHABILITATION CORP) NPI 1831435767

Clinic/Center in Hialeah, FL

NPI 1831435767 Organization Clinic/Center CLIA Number 10D2070008 CLIA Certificate of Waiver

About UNITED WELLCARE CENTER &THERAPY MEDICAL REHABILITATION (THERAPY MEDICAL REHABILITATION CORP)

United Wellcare Center &therapy Medical Rehabilitation (therapy Medical Rehabilitation Corp) is a provider established in Hialeah, Florida specializing in clinic/center. The NPI number of United Wellcare Center &therapy Medical Rehabilitation (therapy Medical Rehabilitation Corp) is 1831435767 and was assigned on December 2012. The practitioner's primary taxonomy code is 261Q00000X with license number HCC5898 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as United Wellcare Center &therapy Medical Rehabilitation. The authorized official of this NPI record is Mr. Jose M Paula I Pres/owner (President)

The CLIA number of United Wellcare Center &therapy Medical Rehabilitation is 10D2070008 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to United Wellcare Center &therapy Medical Rehabilitation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1831435767

Provider NameUNITED WELLCARE CENTER &THERAPY MEDICAL REHABILITATION (THERAPY MEDICAL REHABILITATION CORP)
Provider Location Address1840 WEST 49TH STREET SUITE 305 HIALEAH, FL 33012
Provider Mailing Address1840 WEST 49TH STREET SUITE 305 HIALEAH, FL 33012
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameUNITED WELLCARE CENTER &THERAPY MEDICAL REHABILITATION
Other Name TypeDoing Business As (3)
Enumeration Date12-21-2012
Last Update Date10-19-2015


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License No.HCC5898
License StateFL
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

UNITED WELLCARE CENTER &THERAPY MEDICAL REHABILITATION
1840 WEST 49TH STREET
SUITE 305
HIALEAH, FL
ZIP 33012
Phone: (305) 828-9980
Fax: (786) 507-4734

Get Directions


Mailing Address

UNITED WELLCARE CENTER &THERAPY MEDICAL REHABILITATION
1840 WEST 49TH STREET
SUITE 305
HIALEAH, FL
ZIP 33012
Phone: (305) 828-9980
Fax: (786) 507-4734



Authorized Official

Authorized Official NameMR. JOSE M PAULA I PRES/OWNER
Authorized Official TitlePRESIDENT
Authorized Official Phone(305) 828-9980

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1831435767 is:

CLIA Number10D2070008
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760447726DR. EZEQUIEL F. ROMERO M.D.
Individual
Pediatrics1840 WEST 49TH STREET SUITE 604
HIALEAH, FL 33012
(305) 827-2100
1720014129D.D.A. MEDICAL SERVICES INC
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)1840 WEST 49TH STREET SUITE 731
HIALEAH, FL 33012
(305) 825-2730

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.