Intraqual Premier Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11941 Issued in FL

Legal business name

INTRAQUAL PREMIER INC

Practice address

19117 NW 33Rd Ave
Miami Gardens, FL 33056-7406

Phone

(305) 621-1051

Fax

(305) 628-4855

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany Gordon

Title

Administrator

Phone

(305) 724-1974

Specialties & licenses 1

Addresses

Other names 1

• Intraqual Premier ALF Doing business as

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1104121466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19117 NW 33RD AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330567406",
            "telephone_number": "305-621-1051",
            "fax_number": "305-628-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19117 NW 33RD AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330567406",
            "telephone_number": "305-621-1051",
            "fax_number": "305-628-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAQUAL PREMIER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-724-1974",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intraqual Premier ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Miami Gardens, FL
• Providers in Miami Gardens, 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 Jan 18, 2011; 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.