Restored Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-11648 Issued in FL

Legal business name

RESTORED LIVING FACILITY

Practice address

1470 NW 174TH St
Miami Gardens, FL 33169-5125

Phone

(305) 879-5171

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Margaret Munnings

Title

Owner-Administrator

Phone

(305) 879-5171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1215269048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 NW 174TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695125",
            "telephone_number": "305-879-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 NW 174TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695125",
            "telephone_number": "305-879-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "MUNNINGS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "305-879-5171"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL-11648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.