NPIMap

Organization Active NPI

Madulys Adult Care

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1447468699
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 10487 Issued in FL
Legal business name
MADULYS ADULT CARE
Practice address
15680 SW 139TH Ave
Miami, FL 33177-1067
Phone
(305) 300-4898
Fax
(305) 225-1289
NPI assigned
May 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Manuel Gonzales
Title
Administrator
Phone
(305) 300-4898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 10487 FL Primary

Addresses

Primary practice location

15680 SW 139TH Ave
Miami, FL 33177-1067

Mailing address

15680 SW 139TH Ave
Miami, FL 33177-1067
Phone (305) 300-4898

Other identifiers 1

IdentifierTypeStateIssuer
142223500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Madulys Adult Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1447468699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 SW 139TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771067",
            "telephone_number": "305-300-4898",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15680 SW 139TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771067",
            "telephone_number": "305-300-4898",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADULYS ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-300-4898"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142223500",
            "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 Aug 13, 2008; 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.