Active NPI
Villa Serena IV, Inc
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1306102926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10868
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxana Solano
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142653200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Assisted Living Facility
- Miami, FL
- NPI 1326595141
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.