Provider Type Icon

MIAMI DADE COMMUNITY SERVICES INC NPI 1740540608


NPI Information

NPI: 1740540608
Provider Name: MIAMI DADE COMMUNITY SERVICES INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2081868

Address:
1901 SW 1ST ST
MIAMI, FL
ZIP 33135
Phone: (305) 631-8931
Get Directions

MIAMI DADE COMMUNITY SERVICES INC is a substance abuse rehabilitation facility in Miami, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MIAMI DADE COMMUNITY SERVICES INC NPI is 1740540608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1901 SW 1ST ST
MIAMI, FL
ZIP 33135-601
Phone: (305) 631-8931
Fax: (305) 631-0546

The provider's authorized official is Jose M Roig .
The authorized official title is Ceo and has the following contact phone number (305) 631-8931.

The CLIA number assigned to this NPI record is 10D2081868 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 12/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalISW1612FLORIDANo
2251B00000XCase Management1113AD310901FLORIDANo
3251S00000XCommunity/Behavioral Health1113AD310901FLORIDANo
4324500000XSubstance Abuse Rehabilitation Facility1113AD310901FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1111309OTHERFLORIDADEPARTMENT OF CHILDREN AND FAMILIES

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.