Organization Active NPI

Villa Maria Adult Day Care

  • Custodial Care Facility
  • Miami, FL
National Provider Identifier
1174615074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
VILLA MARIA ADULT DAY CARE
Practice address
20855 NW 9TH CT
Miami, FL 33169-6801
Phone
(954) 739-6233
Fax
(954) 733-1532
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Edward Wilson, RHIA
Title
Chief Privacy Officer
Phone
(954) 739-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

20855 NW 9TH CT
Miami, FL 33169-6801

Mailing address

20855 NW 9TH CT
Miami, FL 33169-6801
Phone (954) 739-6233

National Provider Directory

National Provider Directory
Tax ID family
Villa Maria Nursing Rehabilitation Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20855 NW 9th Ct
Miami Gardens, FL 33169
Phone (305) 816-6163

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174615074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20855 NW 9TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696801",
            "telephone_number": "954-739-6233",
            "fax_number": "954-733-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20855 NW 9TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696801",
            "telephone_number": "954-739-6233",
            "fax_number": "954-733-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MARIA ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF PRIVACY OFFICER",
        "authorized_official_telephone_number": "954-739-6233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.