Organization Active NPI

Ives Dairy Senior Care, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1285805168
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11259 Issued in FL
Legal business name
IVES DAIRY SENIOR CARE, INC.
Practice address
19840 NE 10TH CT
Miami, FL 33179-3554
Phone
(786) 316-6007
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Authorized official

Name
Anacaona Senises
Title
President
Phone
(786) 316-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11259 FL Primary

Addresses

Primary practice location

19840 NE 10TH CT
Miami, FL 33179-3554

Mailing address

19840 NE 10TH CT
Miami, FL 33179-3554
Phone (786) 316-6007

Other identifiers 1

IdentifierTypeStateIssuer
143020300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1285805168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19840 NE 10TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793554",
            "telephone_number": "786-316-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19840 NE 10TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793554",
            "telephone_number": "786-316-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVES DAIRY SENIOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "SENISES",
        "authorized_official_first_name": "ANACAONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-316-6007"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143020300",
            "state": "FL"
        }
    ],
    "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 Jan 28, 2012; 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.