5901 Nw 79th Avenue Operations, LLC
NPI 1366936197ActiveOrganization· Skilled Nursing Facility· Tamarac, FL
Skilled Nursing Facility in Tamarac, Florida, registered in NPPES in June 2018. The authorized official on file is Miriam C. Pastor, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1366936197 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2018 |
| Last updated in NPPES | Sep 13, 2024 |
| Certified by provider | Sep 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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