Active NPI
Jogava Inc
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1134327893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10974
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142780600 | Medicaid | FL |
Other names 1
- SUNSET GARDENS II
National Provider Directory
National Provider DirectoryLocations
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.