Miramar Senior Living II, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL10870 Issued in FL

Legal business name

MIRAMAR SENIOR LIVING II, INC.

Practice address

15558 SW 24TH Ter
Miami, FL 33185-5777

Phone

(305) 305-1275

NPI assigned

Jun 21, 2007

Last updated

Aug 22, 2020By 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

Vincent Herryman

Title

Administrator

Phone

(305) 305-1275

Specialties & licenses 1

Addresses

Tax ID family

Miramar Senior Living II 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.

• Miramar Senior Living II Inc

  • Assisted Living Facility
  • Miami, FL
  • NPI 1023272564
  NPD tax ID

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215133855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15558 SW 24TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855777",
            "telephone_number": "305-305-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15558 SW 24TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855777",
            "telephone_number": "305-305-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR SENIOR LIVING II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRYMAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-305-1275"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Miralles
• Miramar Center Services Inc
• Miramar Group Home
• Miramar Senior Living
• Miramar Senior Living II Inc
• Miramar Senior Living III, Inc.
• Miramar Senior Living IV, Inc.
• Miramar Senior Living V, Inc.
• Miramar Senior Living VI, Inc.
• Miramar Senior Living, Inc.

• Assisted Living Facility (Mental Illness) in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• 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.