Monte Olivo Adult Care Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10890 Issued in FL

Legal business name

MONTE OLIVO ADULT CARE CORP

Practice address

1745 SW 86TH Ave
Miami, FL 33155-1022

Phone

(305) 260-9929

Fax

(305) 225-1289

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sandro Fleitas

Title

Owner

Phone

(786) 287-7518

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1194934497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 SW 86TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551022",
            "telephone_number": "786-287-7518",
            "fax_number": "305-381-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SW 86TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551022",
            "telephone_number": "305-260-9929",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE OLIVO ADULT CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "FLEITAS",
        "authorized_official_first_name": "SANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-287-7518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142688500",
            "state": "FL"
        }
    ],
    "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 May 17, 2023; 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.