Morningside Manor & Villa Adult Care Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10361 Issued in FL

Legal business name

MORNINGSIDE MANOR & VILLA ADULT CARE CORPORATION

Practice address

200 South Drive
Miami Springs, FL 33166-5942

Phone

(786) 234-6619

Fax

(305) 885-7291

NPI assigned

Nov 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Evelyn M Marcial

Title

President/Owner

Phone

(786) 234-6619

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1003245259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH DRIVE",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665942",
            "telephone_number": "786-234-6619",
            "fax_number": "305-885-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH DRIVE",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665942",
            "telephone_number": "786-234-6619",
            "fax_number": "305-885-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE MANOR & VILLA ADULT CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MARCIAL",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-234-6619"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003525000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.