Miramar Senior Living IV, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL11034 Issued in FL

Legal business name

MIRAMAR SENIOR LIVING IV, INC.

Practice address

14934 SW 32ND Ter
Miami, FL 33185-3998

Phone

(305) 305-1275

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Herryman

Title

Administrator

Phone

(305) 305-1275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1417144478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14934 SW 32ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853998",
            "telephone_number": "305-305-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14934 SW 32ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853998",
            "telephone_number": "305-305-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR SENIOR LIVING IV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "HERRYMAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-305-1275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL11034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miramar Group Home
• Miramar Senior Living
• Miramar Senior Living II Inc
• Miramar Senior Living II, Inc.
• Miramar Senior Living III, Inc.
• Miramar Senior Living V, Inc.
• Miramar Senior Living VI, Inc.
• Miramar Senior Living, Inc.
• Lourdes Mirambell
• Jorge L Miranda Alvarez

• Assisted Living Facility (Mental Illness) in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.