Organization Active NPI

Amanda'S Paradise, Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1124234174
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10168 Issued in FL
Legal business name
AMANDA'S PARADISE, INC
Practice address
6132 SW 129TH CT
Miami, FL 33183-1238
Phone
(305) 386-6695
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Authorized official

Name
Carmen R Vera
Title
President
Phone
(305) 386-6695

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10168 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X 10168 FL

Addresses

Primary practice location

6132 SW 129TH CT
Miami, FL 33183-1238

Mailing address

6132 SW 129TH CT
Miami, FL 33183-1238
Phone (305) 386-6695

Other identifiers 1

IdentifierTypeStateIssuer
142154900MedicaidFL

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": "1327708800000",
    "number": "1124234174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 SW 129TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831238",
            "telephone_number": "305-386-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 SW 129TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831238",
            "telephone_number": "305-386-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA'S PARADISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-386-6695"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10168",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "10168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142154900",
            "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 Jan 28, 2012; 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.