Organization Active NPI

Central Palace Services, Inc.

Doing business as Central Palace Residential

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1285837559
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7107 Issued in FL
Legal business name
CENTRAL PALACE SERVICES, INC.
Doing business as
Central Palace Residential
Practice address
4491 SW 8 St
Miami, FL 33134
Phone
(305) 445-3565
Fax
(305) 445-3307
NPI assigned
Jun 6, 2007
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Esperanza Elena Perez
Title
Owner
Phone
(305) 812-7667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7107 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X 7107 FL

Addresses

Primary practice location

4491 SW 8 St
Miami, FL 33134

Mailing address

4491 SW 8 St
Miami, FL 33134
Phone (305) 445-3565

Other identifiers 1

IdentifierTypeStateIssuer
142407600MedicaidFL

Other names 1

  • Central Palace Residential Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1285837559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 SW 8 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-445-3565",
            "fax_number": "305-445-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 SW 8 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-445-3565",
            "fax_number": "305-445-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PALACE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ESPERANZA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-812-7667"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7107",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "7107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142407600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Palace Residential",
            "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 Dec 10, 2024; 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.