Royal Destiny Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10731 Issued in FL

Legal business name

ROYAL DESTINY HOME CARE LLC

Practice address

3260 NW 179TH St
Miami Gardens, FL 33056-3416

Phone

(305) 474-3273

Fax

(305) 474-3278

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Evelyn J Branford

Title

Owner/ Administrator

Phone

(305) 474-3273

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1265609853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NW 179TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563416",
            "telephone_number": "305-474-3273",
            "fax_number": "305-474-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 NW 179TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563416",
            "telephone_number": "305-474-3273",
            "fax_number": "305-474-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL DESTINY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "BRANFORD",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "305-474-3273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142487400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami Gardens, FL
• Providers in Miami Gardens, 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 May 13, 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.