Organization Active NPI

Carpricorn Retirement Home

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1467634717
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 7892 Issued in FL
Legal business name
CARPRICORN RETIREMENT HOME
Practice address
13720 NW 12TH Avenue
Miami, FL 33168
Phone
(305) 688-4670
Fax
(305) 769-1262
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Dr. Eldridge C. Pratt
Title
Administrator
Phone
(305) 688-4670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 7892 FL Primary

Addresses

Primary practice location

13720 NW 12TH Avenue
Miami, FL 33168

Mailing address

13720 NW 12TH Avenue
Miami, FL 33168
Phone (305) 688-4670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1467634717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 NW 12TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "305-688-4670",
            "fax_number": "305-769-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 NW 12TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "305-688-4670",
            "fax_number": "305-769-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPRICORN RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "ELDRIDGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-688-4670",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 7892",
            "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 Mar 26, 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.