OrganizationActive
Jackson Mem Hos
NPI 1093869794 · General Acute Care Hospital · Miami, FL
Jackson Mem Hos is a General Acute Care Hospital organization in Miami, FL (NPI 1093869794).
Provider details
- NPI number
- 1093869794
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Audrey Roberts, Arnp(305) 585-6677
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1611 Nw 12th Ave
Miami, FL 33136-1005
Phone: (305) 585-6677
Street-level locationGet directions
Mailing address
10429 Oak Meadow Ln
Lake Worth, FL 33467-5470
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jackson Mem Hos's NPI number?
- Jackson Mem Hos's National Provider Identifier (NPI) is 1093869794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Mem Hos?
- Jackson Mem Hos is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Jackson Mem Hos located?
- Jackson Mem Hos's practice location on file with NPPES is 1611 Nw 12th Ave, Miami, FL 33136-1005.
- What is Jackson Mem Hos's phone number?
- The practice phone number listed in the NPPES registry for Jackson Mem Hos is (305) 585-6677.
- Who is the authorized official for Jackson Mem Hos?
- The authorized official listed on Jackson Mem Hos's NPPES record is Audrey Roberts, Arnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Mem Hos's NPI active?
- Yes — Jackson Mem Hos's NPI (1093869794) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.