Organization Active NPI

Five Star Assisted Living Facility, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1326546359
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
13115 Issued in FL
Legal business name
FIVE STAR ASSISTED LIVING FACILITY, INC.
Practice address
5384 NW 4TH St
Miami, FL 33126-4911
Phone
(786) 953-4975
Fax
(786) 953-4975
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Norma Vazquez
Title
President
Phone
(305) 281-2439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 13115 FL Primary

Addresses

Primary practice location

5384 NW 4TH St
Miami, FL 33126-4911

Mailing address

5384 NW 4TH St
Miami, FL 33126-4911
Phone (786) 953-4975

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1326546359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264911",
            "telephone_number": "786-953-4975",
            "fax_number": "786-953-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5384 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264911",
            "telephone_number": "786-953-4975",
            "fax_number": "786-953-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-281-2439"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13115",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 4, 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.