Provider Demographics
NPI:1235309790
Name:HEBREW HOME OF MIAMI BEACH
Entity Type:Organization
Organization Name:HEBREW HOME OF MIAMI BEACH
Other - Org Name:HEBREW HOME FOR THE AGED OF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANEZ-ARTILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-917-1802
Mailing Address - Street 1:1800 NE 168TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3023
Mailing Address - Country:US
Mailing Address - Phone:305-917-1802
Mailing Address - Fax:305-949-1970
Practice Address - Street 1:1800 NE 168TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3023
Practice Address - Country:US
Practice Address - Phone:305-917-1802
Practice Address - Fax:305-949-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1218095314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105331Medicare Oscar/Certification