Paradise Elderly Home, Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11278 Issued in FL

Legal business name

PARADISE ELDERLY HOME, CORP

Practice address

12690 NE 2ND Ave
North Miami, FL 33161-4556

Phone

(305) 926-1193

NPI assigned

Apr 21, 2008

Last updated

Apr 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yenisleidy Rios

Title

President

Phone

(305) 926-1193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1467626416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12690 NE 2ND AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614556",
            "telephone_number": "305-926-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12690 NE 2ND AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614556",
            "telephone_number": "305-926-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE ELDERLY HOME, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "YENISLEIDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-926-1193"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in North Miami, FL
• Providers in North 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 Apr 21, 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.