Residencia Salome,Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10094 Issued in FL

Legal business name

RESIDENCIA SALOME,INC.

Practice address

3525 SW 130TH Ave
Miami, FL 33175-2819

Phone

(305) 804-5888

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Yanelis Alegre

Title

Administrator

Phone

(305) 804-5888

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1336202431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 SW 130TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752819",
            "telephone_number": "305-804-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 SW 130TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752819",
            "telephone_number": "305-804-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENCIA SALOME,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "ALEGRE",
        "authorized_official_first_name": "YANELIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-804-5888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688311700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142130100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 30, 2011; 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.