Organization Active NPI

Paraiso Dos Gardenias II LLC

  • Assisted Living Facility
  • Pembroke Pines, FL
National Provider Identifier
1245081413
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PARAISO DOS GARDENIAS II LLC
Practice address
17851 SW 11TH CT
Pembroke Pines, FL 33029-4412
Phone
(954) 673-0194
Fax
(786) 513-0427
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Zuleidy Navarrete
Title
Owner
Phone
(786) 227-0853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17851 SW 11TH CT
Pembroke Pines, FL 33029-4412

Mailing address

17851 SW 11TH CT
Pembroke Pines, FL 33029-4412
Phone (954) 673-0194

Other identifiers 1

IdentifierTypeStateIssuer
11900OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1245081413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17851 SW 11TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294412",
            "telephone_number": "954-673-0194",
            "fax_number": "786-513-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17851 SW 11TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294412",
            "telephone_number": "954-673-0194",
            "fax_number": "786-513-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAISO DOS GARDENIAS II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "ZULEIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-227-0853"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "11900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.