Vida Home Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10335 Issued in FL

Legal business name

VIDA HOME CARE INC

Practice address

9099 NW 113TH St
Hialeah Gardens, FL 33018-4561

Phone

(305) 828-0395

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Maikel Rodriguez

Title

Owner

Phone

(305) 992-3629

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1285130971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 NW 113TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184561",
            "telephone_number": "305-828-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9099 NW 113TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184561",
            "telephone_number": "305-828-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MAIKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-992-3629"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hialeah Gardens, FL
• Providers in Hialeah 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 Apr 2, 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.