Active NPI
South Deering Retirement Home, Inc.
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1124234083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 8674
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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": []
}
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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.