Organization Active NPI

Infinity Paradise LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1356936355
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INFINITY PARADISE LLC
Practice address
745 NW 102ND St
Miami, FL 33150-1338
Phone
(305) 758-1629
Fax
(305) 758-1958
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Jose Y Hernandez
Title
Owner
Phone
(786) 873-4655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

745 NW 102ND St
Miami, FL 33150-1338

Mailing address

745 NW 102ND St
Miami, FL 33150-1338
Phone (305) 758-1629

Other identifiers 1

IdentifierTypeStateIssuer
AL10840OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1356936355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NW 102ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501338",
            "telephone_number": "305-758-1629",
            "fax_number": "305-758-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW 102ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501338",
            "telephone_number": "305-758-1629",
            "fax_number": "305-758-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PARADISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-873-4655"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL10840",
            "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 Mar 2, 2021; 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.