Organization Active NPI

South Deering Retirement Home, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1124234083
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8674 Issued in FL
Legal business name
SOUTH DEERING RETIREMENT HOME, INC.
Practice address
9730 Colonial Dr
Miami, FL 33157-3347
Phone
(786) 293-2816
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Isise E Molina
Title
President
Phone
(786) 293-2816

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8674 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X 8674 FL

Addresses

Primary practice location

9730 Colonial Dr
Miami, FL 33157-3347

Mailing address

9730 Colonial Dr
Miami, FL 33157-3347
Phone (786) 293-2816

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124234083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 COLONIAL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573347",
            "telephone_number": "786-293-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 COLONIAL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573347",
            "telephone_number": "786-293-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DEERING RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ISISE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-293-2816"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8674",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "8674",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 11, 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.