Provider Demographics
NPI:1588765226
Name:WEST MIAMI CMHC INC
Entity type:Organization
Organization Name:WEST MIAMI CMHC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:P/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAVEDRA-MESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-262-0099
Mailing Address - Street 1:7915 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-8000
Mailing Address - Country:US
Mailing Address - Phone:305-262-0999
Mailing Address - Fax:305-262-0097
Practice Address - Street 1:7915 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-8000
Practice Address - Country:US
Practice Address - Phone:305-262-0999
Practice Address - Fax:305-262-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002321200Medicaid
FL684601Medicare PIN
FL644601Medicare UPIN
FL002321200Medicaid