VICTORIA HEALTHCARE INC NPI 1174523815

NPI Information

NPI: 1174523815
Provider Name: VICTORIA HEALTHCARE INC

Doing Business As: SELECT SPECIALTY HOSPITAL - MIAMI

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

Address:
955 NW 3RD ST
MIAMI, FL
ZIP 33128
Phone: (305) 416-5737
Get Directions

VICTORIA HEALTHCARE INC is a long term care hospital in Miami, FL. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. VICTORIA HEALTHCARE INC NPI is 1174523815. The provider is registered as an organization entity type.
The provider Is Doing Business As Select Specialty Hospital - Miami.

The provider's business location address is:

955 NW 3RD ST
MIAMI, FL
ZIP 33128-274
Phone: (305) 416-5737
Fax: (305) 545-8556

The provider's authorized official is Michael E. Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 972-1100.

The CLIA number assigned to this NPI record is 10D1038451 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 9/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282E00000X	Long Term Care Hospital		4469	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	595	OTHER	FLORIDA	BLUE CROSS FL
2	102001	MEDICARE OSCAR/CERTIFICATION	FLORIDA
3	SG071214	OTHER	FLORIDA	VISTA
4	010337300	MEDICAID	FLORIDA
5	271538	OTHER	FLORIDA	AMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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