Organization Active NPI

Miramar Isles Assisted Care Facility Inc.

  • Assisted Living Facility (Mental Illness)
  • Clermont, FL
National Provider Identifier
1053284554
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
MIRAMAR ISLES ASSISTED CARE FACILITY INC.
Practice address
2785 Valiant Dr
Clermont, FL 34711-5248
Phone
(954) 448-4845
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Marie Burrell
Title
President
Phone
(954) 448-4845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2785 Valiant Dr
Clermont, FL 34711-5248

Mailing address

2785 Valiant Dr
Clermont, FL 34711-5248

National Provider Directory

National Provider Directory
Tax ID family
Miramar Isles Assisted Care Facility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1053284554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 VALIANT DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 VALIANT DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115248",
            "telephone_number": "954-448-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR ISLES ASSISTED CARE FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-448-4845"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.