CRP/FDG West Kendall SL Owner, L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CRP/FDG WEST KENDALL SL OWNER, L.L.C.

Doing business as

The Solana of West Kendall

Practice address

9355 SW 158TH Ave
Miami, FL 33196-5872

Phone

(786) 878-5140

NPI assigned

Nov 27, 2018

Last updated

Dec 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bobby Petras

Title

Coo

Phone

(260) 797-9482

Specialties & licenses 1

Addresses

Other names 1

• The Solana of West Kendall Doing business as

Locations

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1265902787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE NW STE 220",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 SW 158TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965872",
            "telephone_number": "786-878-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRP/FDG WEST KENDALL SL OWNER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "PETRAS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "260-797-9482"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Solana of West Kendall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Solana of West Kendall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Dec 3, 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.