Vida Clara Adult Living Facility, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VIDA CLARA ADULT LIVING FACILITY, LLC.

Practice address

5890 SW 51St Ter
Miami, FL 33155-6326

Phone

(305) 793-5047

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Nicole Alexandria Perez

Title

President/ Owner

Phone

(305) 793-5047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1376966770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 N WATERWAY DR",
            "address_2": "SUITE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 SW 51ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556326",
            "telephone_number": "305-793-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA CLARA ADULT LIVING FACILITY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "305-793-5047"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 22, 2014; 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.