Big Bear Academy
Skilled Nursing Facility, Nursing Care, Pediatric in Miami, FL. Organization (NPI-2).
NPI number1366810079
StatusActive
Last updated in NPPESJul 9, 2021
Details
- NPI
- 1366810079
- Entity type
- Organization (NPI-2)
- Legal business name
- Big Bear Academy
- Organization subpart
- No
- Enumeration date
- Sep 11, 2015
- Certification date
- Jul 9, 2021
- Last updated
- Jul 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3140N1450X | Skilled Nursing Facility, Nursing Care, Pediatric | PP29960085 | FL | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
9035 Sunset Dr Ste 100Miami, FL 33173-3441
Phone 786-641-6858 · Fax 786-523-7567
Mailing address
9035 Sunset Dr Ste 100Miami, FL 33173-3441
Phone 786-641-6858 · Fax 786-523-7567
Authorized official
Jose C. Suarez Fernandez
President
7866416858
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