Park Plaza Retirement Residence, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7169 Issued in FL

Legal business name

PARK PLAZA RETIREMENT RESIDENCE, LLC

Practice address

15520 NW 2CD Avenue
North Miami Beach, FL 33169

Phone

(305) 949-2626

Fax

(305) 940-3945

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Rosenberg

Title

Ceo

Phone

(305) 949-2626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144354911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 NW 2CD AVENUE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-949-2626",
            "fax_number": "305-940-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 NW 2CD AVENUE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-949-2626",
            "fax_number": "305-940-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLAZA RETIREMENT RESIDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-949-2626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.