Coral Villa Adult Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10206 Issued in FL

Legal business name

CORAL VILLA ADULT CARE INC

Practice address

2860 SW 122 Av
Miami, FL 33175

Phone

(305) 226-9301

Fax

(305) 226-9301

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Solange Marie Castro

Title

Owner

Phone

(786) 355-2759

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Coral Villa Adult Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coral Villa Adult Care Inc

  • Nursing Care Agency
  • Miami, FL
  • NPI 1326461526
  NPD tax ID

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1326131269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 SW 122 AV",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-226-9301",
            "fax_number": "305-226-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 SW 122 AV",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-226-9301",
            "fax_number": "305-226-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL VILLA ADULT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "SOLANGE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-355-2759"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141812200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684951200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coral Therapy Inc
• Coral Therapy Massage Corp
• Coral Therapy Rehab Center Co
• Coral Trainers
• Coral View Surgery Center, LLC
• Coral Villa Adult Care Inc
• Coral Villa II Corp
• Coral Way Dental Associates Inc
• Coral Way Dental Center Inc
• Coral Way Diagnostic & Medical Services LLC

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.