Organization Active NPI

Bird Lakes Facility Care Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1114138963
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8884 Issued in FL
Legal business name
BIRD LAKES FACILITY CARE INC
Practice address
14279 SW 52ND St
Miami, FL 33175-5830
Phone
(305) 553-0192
Fax
(305) 553-0192
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Camilo Garcia Cabrera
Title
Owner
Phone
(786) 271-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8884 FL Primary

Addresses

Primary practice location

14279 SW 52ND St
Miami, FL 33175-5830

Mailing address

14279 SW 52ND St
Miami, FL 33175-5830
Phone (305) 553-0192

Other identifiers 1

IdentifierTypeStateIssuer
676137200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1114138963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14279 SW 52ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755830",
            "telephone_number": "305-553-0192",
            "fax_number": "305-553-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14279 SW 52ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755830",
            "telephone_number": "305-553-0192",
            "fax_number": "305-553-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD LAKES FACILITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA CABRERA",
        "authorized_official_first_name": "CAMILO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-271-5555"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676137200",
            "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 Apr 28, 2017; 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.