Active NPI
Paraiso Dos Gardenias II LLC
- Assisted Living Facility
- Pembroke Pines, FL
National Provider Identifier
1245081413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11900 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryNPI 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.