Meadow Wood Manor Sect 3, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10893 Issued in FL

Legal business name

MEADOW WOOD MANOR SECT 3, INC.

Practice address

12438 SW 266 Lane
Miami, FL 33032

Phone

(786) 339-8874

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Victoria Diaz

Title

Owner/Administrator

Phone

(305) 303-7569

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vickys ALF Doing business as

Tax ID family

Meadow Wood Manor Sect 3 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vickis Alf

  • Assisted Living Facility
  • Homestead, FL
  • NPI 1629231733
  NPD tax ID

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1457586687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12438 SW 266 LANE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33032",
            "telephone_number": "786-339-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12438 SW 266 LANE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33032",
            "telephone_number": "786-339-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW WOOD MANOR SECT 3, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-303-7569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AL10893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vickys ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 May 18, 2009; 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.