Miller Drive & Galloway Family Home II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-11969 Issued in FM

Legal business name

MILLER DRIVE & GALLOWAY FAMILY HOME II

Practice address

6650 SW 79TH Ave
Miami, FL 33143-2625

Phone

(305) 761-4445

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Faustino Fernandez

Title

Owner-Administrator

Phone

(305) 761-4445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1174812341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 SW 79TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331432625",
            "telephone_number": "305-761-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 SW 79TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331432625",
            "telephone_number": "305-761-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DRIVE & GALLOWAY FAMILY HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "FAUSTINO",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "305-761-4445"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FM",
            "license": "AL-11969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Radiology LLC
• Millennium Rehab Center Inc
• Millennium RX Inc
• Millennium Therapy Center
• Millennium Therapy Center Inc
• Miller Drive & Galloway Family Home, Inc.
• Miller Food Store Inc
• Miller Heights Home
• Miller Home Care Inc
• Miller Medical Group Inc

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.