Lydiaan Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10970 Issued in FL

Legal business name

LYDIAAN INC

Practice address

1420 NE 203Rd St
Miami, FL 33179-5152

Phone

(305) 999-9235

Fax

(305) 621-9509

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Maria Boza

Title

Owner

Phone

(305) 305-3408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1194917047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NE 203RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795152",
            "telephone_number": "305-999-9235",
            "fax_number": "305-621-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NE 203RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795152",
            "telephone_number": "305-999-9235",
            "fax_number": "305-621-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIAAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "BOZA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-305-3408"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 15, 2007; 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.