Organization Active NPI

Jogava Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1134327893
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10974 Issued in FL
Legal business name
JOGAVA INC
Practice address
11173 SW 112TH Terrace
Miami, FL 33176
Phone
(305) 254-1884
Fax
(305) 598-8304
NPI assigned
Jul 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Nidia Valle
Title
President
Phone
(786) 356-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10974 FL Primary

Addresses

Primary practice location

11173 SW 112TH Terrace
Miami, FL 33176

Mailing address

11173 SW 112TH Terrace
Miami, FL 33176
Phone (305) 254-1884

Other identifiers 1

IdentifierTypeStateIssuer
142780600MedicaidFL

Other names 1

  • SUNSET GARDENS II Doing business as

National Provider Directory

National Provider Directory

Locations

11173 SW 112th Ter
Miami, FL 33176
Phone (305) 254-1884

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1134327893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11173 SW 112TH TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-254-1884",
            "fax_number": "305-598-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11173 SW 112TH TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-254-1884",
            "fax_number": "305-598-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOGAVA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-356-1331"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142780600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSET GARDENS II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 18, 2008; 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.