1 Zource Living Care
Organization Active NPI Assisted Living Facility · North Miami Beach, FL
NPI 1033436951 · NPPES record last updated May 3, 2010
Key facts
- NPI
- 1033436951
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- 1 ZOURCE LIVING CARE
- Practice address
- 1401 NE 176TH St
North Miami Beach, FL 33162-1363 - Phone
- (954) 826-7813
- Fax
- (305) 945-4186
- NPI assigned
- May 3, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- 1 ZOURCE CORPORATION
Authorized official
- Name
- Mr. Rogelio Malubay
- Title
- Administrator / President
- Phone
- (954) 826-7813
National Provider Directory
- Part of
- 1 Zource Living Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1401 NE 176TH St
North Miami Beach, FL 33162-1363
Mailing address
16808 SW 39TH St
Miramar, FL 33027-4635
Phone (954) 826-7813
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143061100 | Medicaid | FL |
Other providers in North Miami Beach, FL
- 16565 Operating, LLC
- 167TH Street Medical Center Inc
- A a&H Services
- A Better Start Medical Center Inc
- A Gifted Hand Case Management LLC.
All providers in North Miami Beach, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.