Beryl Cheeseman

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL8093 Issued in FL

Practice address

3381 NW 194TH Ter
Miami Gardens, FL 33056-2343

Phone

(305) 624-6871

Fax

(305) 624-6871

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prince Adam's Place

  • Assisted Living Facility
  • Hollywood, FL
  • NPI 1992633135
  NPD Authorized official

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1053737775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 NW 194TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562343",
            "telephone_number": "305-624-6871",
            "fax_number": "305-624-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 NW 194TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562343",
            "telephone_number": "305-624-6871",
            "fax_number": "305-624-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEESEMAN",
        "first_name": "BERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL8093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.