East Ridge Retirement Village, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20315096 Issued in FL

Legal business name

EAST RIDGE RETIREMENT VILLAGE, INC.

Practice address

19301 SW 87TH Avenue
Miami, FL 33157-8999

Phone

(305) 238-2623

Fax

(305) 256-3516

NPI assigned

Apr 29, 2010

Last updated

Apr 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary M. Gregory

Title

Chairman of the Board

Phone

(305) 669-6000

Specialties & licenses 1

Addresses

Tax ID family

East Ridge Retirement Village Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• East Ridge Retirement Village, Inc.

  • Skilled Nursing Facility
  • Cutler Bay, FL
  • NPI 1649255761
  NPD tax ID

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1194042192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 SW 87TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331578999",
            "telephone_number": "305-238-2623",
            "fax_number": "305-256-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 SW 87TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331578999",
            "telephone_number": "305-238-2623",
            "fax_number": "305-256-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIDGE RETIREMENT VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "305-669-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20315096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.