Active NPI
Mariline Suit
- Assisted Living Facility
- North Miami, FL
National Provider Identifier
1477076768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 6906806
- Practice address
- 960 NE 136 Street
North Miami, FL 33161 - Phone
- (786) 290-7004
- Fax
- (786) 391-0238
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 6906806 | FL | Primary |
Addresses
Primary practice location
960 NE 136 Street
North Miami, FL 33161
Mailing address
960 NE 136TH St
North Miami, FL 33161-3241
Phone (786) 290-7004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015699600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906806 | FL | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477076768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 NE 136TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331613241",
"telephone_number": "786-290-7004",
"fax_number": "786-391-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 NE 136 STREET",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "33161",
"telephone_number": "786-290-7004",
"fax_number": "786-391-0238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUIT",
"first_name": "MARILINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "6906806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015699600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.