NPIMap

Organization Active NPI

Diana Home Care IV Corp

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1417265000
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11822 Issued in FL
Legal business name
DIANA HOME CARE IV CORP
Practice address
526 SW 66TH Ave
Miami, FL 33144-3751
Phone
(305) 225-7119
Fax
(305) 225-1289
NPI assigned
Sep 17, 2010
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Aguedo Valdez
Title
Owner
Phone
(305) 225-7119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11822 FL Primary

Addresses

Primary practice location

526 SW 66TH Ave
Miami, FL 33144-3751

Mailing address

526 SW 66TH Ave
Miami, FL 33144-3751
Phone (305) 225-7119

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1417265000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SW 66TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443751",
            "telephone_number": "305-225-7119",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SW 66TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443751",
            "telephone_number": "305-225-7119",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA HOME CARE IV CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "AGUEDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-225-7119"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11822",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 17, 2010; 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.