NPIMap

Organization Active NPI

St. Mary Adult Care

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1255500328
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL10555 Issued in FL
Legal business name
ST. MARY ADULT CARE
Practice address
5716 SW 149TH PL
Miami, FL 33193-3011
Phone
(305) 408-0362
NPI assigned
Feb 22, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Elena Fernandez
Title
Owner/Administrator
Phone
(786) 393-8122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL10555 FL Primary

Addresses

Primary practice location

5716 SW 149TH PL
Miami, FL 33193-3011

Mailing address

PO Box 771120
Miami, FL 33177-0019

National Provider Directory

National Provider Directory
Tax ID family
St Mary Adult Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1255500328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 SW 149TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933011",
            "telephone_number": "305-408-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-393-8122"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.