Servicom Mach Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10674 Issued in FL

Legal business name

SERVICOM MACH INC

Practice address

11358 SW 247TH Ter
Homestead, FL 33032-4649

Phone

(305) 258-1606

Fax

(305) 225-1289

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Rosa Mariazza

Title

Owner

Phone

(305) 258-1606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467663146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11358 SW 247TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330324649",
            "telephone_number": "305-258-1606",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11358 SW 247TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330324649",
            "telephone_number": "305-258-1606",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICOM MACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARIAZZA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-258-1606"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Serrano, RBT
• Miguel Serrano
• Stefano Alejandro Serrano Sr.
• Services at Homestead Inc
• Servicios Caceres LLC
• Veronica Toni Sforza, LCSW
• Mohamad Shahmohamady, M.D.
• Mahtab Michelle Shalbafian
• Shaping Smiles LLC
• Fariya Sharif

• Assisted Living Facility in Homestead, FL
• Providers in Homestead, 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 Aug 22, 2020; 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.