Organization
HEBREW HOME SINAI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TUCKER NHA (ADMINISTRATOR)
(305) 899-4700
Entity
Organization
Contact information
Practice address
201 NE 112TH ST, MIAMI, FL 33161-7022
(305) 899-4700
(305) 899-4719
Mailing address
201 NE 112TH ST, MIAMI, FL 33161-7022
(305) 899-4700
(305) 899-4719
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF15190961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026077100
—
FL
01
—
K6E
BLUE CROSS PROVIDER #
FL
Enumeration date
10/12/2006
Last updated
06/14/2016
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