Colonial Gardens Residences LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONIAL GARDENS RESIDENCES LLC

Practice address

2801 NW 55TH Ave
Lauderhill, FL 33313-2509

Phone

(954) 484-1960

Fax

(954) 766-1657

NPI assigned

Apr 2, 2026

Organization subpart

No

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

Authorized official

Name

Mirvian Rodriguez

Title

Owner

Phone

(954) 484-1960

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1013858190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 55TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132509",
            "telephone_number": "954-484-1960",
            "fax_number": "954-766-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 55TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132509",
            "telephone_number": "954-484-1960",
            "fax_number": "954-766-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL GARDENS RESIDENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MIRVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-484-1960"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "7249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Gabrielle Coffey
• Sanique Cashane Cole Stephens, APRN
• Justin R Coleman, DC
• Lea Kerlinda Coley
• Colonial Assisted Living at Fort Lauderdale, LLC
• Tina Colson, HOME HEALTH AIDE
• Community Blood Centers of South Florida, Inc.
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• Arlene Cynthia Compass
• Compassionate Care Home Care Services Inc

• Assisted Living Facility in Lauderhill, FL
• Providers in Lauderhill, 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 Apr 2, 2026; 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.