Organization Active NPI

Victoria Villa, Inc

  • Assisted Living Facility
  • Davie, FL
National Provider Identifier
1396189197
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8646 Issued in FL
Legal business name
VICTORIA VILLA, INC
Practice address
5151 SW 61St Ave
Davie, FL 33314-5303
Phone
(954) 791-8881
Fax
(954) 791-1157
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Debbie Korman
Title
Admin
Phone
(954) 791-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8646 FL Primary

Addresses

Primary practice location

5151 SW 61St Ave
Davie, FL 33314-5303

Mailing address

5151 SW 61St Ave
Davie, FL 33314-5303
Phone (954) 791-8881

National Provider Directory

National Provider Directory

Locations

5151 SW 61st Ave
Davie, FL 33314
Phone (954) 791-8881

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1396189197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 SW 61ST AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333145303",
            "telephone_number": "954-791-8881",
            "fax_number": "954-791-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 SW 61ST AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333145303",
            "telephone_number": "954-791-8881",
            "fax_number": "954-791-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA VILLA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "KORMAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "954-791-8881"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.