Active NPI
La Villa Manor LLC
- Assisted Living Facility
- Hialeah, FL
National Provider Identifier
1467968594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LA VILLA MANOR LLC
- Practice address
- 140 W 28TH St
Hialeah, FL 33010-1606 - Phone
- (914) 548-7617
- Fax
- (914) 633-1620
- NPI assigned
- Dec 27, 2017
- Organization subpart
- Yes
- Parent organization
- REGAL HEALTHCARE ALF HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Bicky
- Title
- Manager
- Phone
- (914) 548-7617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FL | Primary |
Addresses
Primary practice location
140 W 28TH St
Hialeah, FL 33010-1606
Mailing address
22 Regal Dr
New Rochelle, NY 10804-1202
Phone (914) 548-7617
Other names 1
- La Villa Place LLC
National Provider Directory
National Provider Directory- Part of
- Regal Healthcare Alf Holdings LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514332800000",
"number": "1467968594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 REGAL DR",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108041202",
"telephone_number": "914-548-7617",
"fax_number": "914-633-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 28TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330101606",
"telephone_number": "914-548-7617",
"fax_number": "914-633-1620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA VILLA MANOR LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REGAL HEALTHCARE ALF HOLDINGS LLC",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A",
"authorized_official_last_name": "BICKY",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "914-548-7617"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "La Villa Place LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.