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West Kendall Community Center

Case Management in Miami, FL. Organization (NPI-2).

NPI number1124569280
StatusActive
Last updated in NPPESMar 9, 2017

Details

NPI
1124569280
Entity type
Organization (NPI-2)
Legal business name
West Kendall Community Center
Organization subpart
No
Enumeration date
Mar 9, 2017
Last updated
Mar 9, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management–FLYes

Practice location

13255 Sw 137th Ave
Suite 208
Miami, FL 33186-5326

Phone 305-744-4525

Mailing address

13255 Sw 137th Ave
Suite 208
Miami, FL 33186-5326

Phone 305-744-4525

Authorized official

Adannys Dominguez
President
3057444525

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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