Organization Active NPI

Venetian Gardens Home Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1376013698
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VENETIAN GARDENS HOME INC
Practice address
15060 SW 63 Ter
Miami, FL 33193-2783
Phone
(305) 200-3171
Fax
(305) 200-3171
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Georgina A Ponce
Title
Owner
Phone
(786) 803-9318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

15060 SW 63 Ter
Miami, FL 33193-2783

Mailing address

15060 SW 63 Ter
Miami, FL 33193-2783
Phone (305) 200-3171

Other identifiers 1

IdentifierTypeStateIssuer
13244MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1376013698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15060 SW 63 TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932783",
            "telephone_number": "305-200-3171",
            "fax_number": "305-200-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15060 SW 63 TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932783",
            "telephone_number": "305-200-3171",
            "fax_number": "305-200-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENETIAN GARDENS HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-803-9318"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13244",
            "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 Dec 20, 2024; 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.