Organization Active NPI

Moreno Facility LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1043014707
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MORENO FACILITY LLC
Practice address
11870 SW 186TH St
Miami, FL 33177-3271
Phone
(786) 701-8929
Fax
(786) 701-8929
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Mizayda Moreno Martinez
Title
Owner
Phone
(786) 444-3816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11870 SW 186TH St
Miami, FL 33177-3271

Mailing address

11870 SW 186TH St
Miami, FL 33177-3271
Phone (786) 701-8929

Other identifiers 1

IdentifierTypeStateIssuer
13968OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1043014707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SW 186TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773271",
            "telephone_number": "786-701-8929",
            "fax_number": "786-701-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 SW 186TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773271",
            "telephone_number": "786-701-8929",
            "fax_number": "786-701-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "MORENO MARTINEZ",
        "authorized_official_first_name": "MIZAYDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-444-3816"
    },
    "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": "13968",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.