Evelyn's Paradise LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVELYN'S PARADISE LLC

Practice address

120 Apache St
Miami Springs, FL 33166-5047

Phone

(786) 470-4342

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Evelyn Marcial

Title

Alf Owner

Phone

(786) 234-6619

Specialties & licenses 1

Addresses

Tax ID family

Evelyn's Paradise LLC2 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.

• Evelyn's Paradise LLC

  • Assisted Living Facility
  • Miami Springs, FL
  • NPI 1366105215
  NPD tax ID

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1235634866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 APACHE ST",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665047",
            "telephone_number": "786-470-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 APACHE ST",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665047",
            "telephone_number": "786-470-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN'S PARADISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "MARCIAL",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "ALF OWNER",
        "authorized_official_telephone_number": "786-234-6619"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami Springs, FL
• Providers in Miami Springs, 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 Mar 26, 2018; 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.