Organization Active NPI

Villa Serena IV, Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1306102926
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10868 Issued in FL
Legal business name
VILLA SERENA IV, INC
Practice address
754 NW 22ND CT
Miami, FL 33125-3309
Phone
(305) 206-5342
Fax
(305) 668-0346
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Roxana SolanoNPI 1326595141
Title
Owner
Phone
(305) 240-7131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10868 FL Primary

Addresses

Primary practice location

754 NW 22ND CT
Miami, FL 33125-3309

Mailing address

754 NW 22ND CT
Miami, FL 33125-3309
Phone (305) 206-5342

Other identifiers 1

IdentifierTypeStateIssuer
142653200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1306102926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 NW 22ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253309",
            "telephone_number": "305-206-5342",
            "fax_number": "305-668-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 NW 22ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253309",
            "telephone_number": "305-206-5342",
            "fax_number": "305-668-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA SERENA IV, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "SOLANO",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-240-7131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142653200",
            "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 Apr 22, 2020; 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.