NPIMap

Organization Active NPI

Maruly's Adult Care, Inc

Doing business as Maruly's Adult Care

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1275741142
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10215 Issued in FL
Legal business name
MARULY'S ADULT CARE, INC
Doing business as
Maruly's Adult Care
Practice address
311 SW 136TH Ave
Miami, FL 33184
Phone
(305) 229-0396
Fax
(305) 221-0420
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Manuel Gonzalez
Title
President
Phone
(305) 300-4898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10215 FL Primary

Addresses

Primary practice location

311 SW 136TH Ave
Miami, FL 33184

Mailing address

12710 NW 8TH Lane
Miami, FL 33182
Phone (305) 300-4898

Other identifiers 1

IdentifierTypeStateIssuer
141821100MedicaidFL

Other names 1

  • Maruly's Adult Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madulys Adult Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1275741142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 NW 8TH LANE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33182",
            "telephone_number": "305-300-4898",
            "fax_number": "305-221-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33184",
            "telephone_number": "305-229-0396",
            "fax_number": "305-221-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARULY'S ADULT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-300-4898"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141821100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maruly's Adult Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 14, 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.