Organization Active NPI

Pioneer Adult Residential Facility Inc.

  • Assisted Living Facility (Mental Illness)
  • Miami Beach, FL
National Provider Identifier
1306989835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL3868 Issued in FL
Legal business name
PIONEER ADULT RESIDENTIAL FACILITY INC.
Practice address
1311 Biarritz Dr
Miami Beach, FL 33141-3635
Phone
(305) 865-2851
Fax
(305) 856-5104
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ada Leyva
Title
Assitant Administrator
Phone
(305) 856-5103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL3868 FL Primary

Addresses

Primary practice location

1311 Biarritz Dr
Miami Beach, FL 33141-3635

Mailing address

1311 Biarritz Dr
Miami Beach, FL 33141-3635
Phone (305) 865-2851

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306989835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BIARRITZ DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413635",
            "telephone_number": "305-865-2851",
            "fax_number": "305-856-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BIARRITZ DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413635",
            "telephone_number": "305-865-2851",
            "fax_number": "305-856-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER ADULT RESIDENTIAL FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEYVA",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "ASSITANT ADMINISTRATOR",
        "authorized_official_telephone_number": "305-856-5103"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL3868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.