Organization Active NPI

Villa Serena 1

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1497029516
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VILLA SERENA 1
Practice address
1200 SW 22ND Ter
Miami, FL 33145-3937
Phone
(305) 206-5342
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Roxana Solano
Title
Owner
Phone
(305) 206-5342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1200 SW 22ND Ter
Miami, FL 33145-3937

Mailing address

701 SW 27TH Ave
Miami, FL 33135-3031
Phone (305) 206-5342

Other identifiers 1

IdentifierTypeStateIssuer
140588800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1497029516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353031",
            "telephone_number": "305-206-5342",
            "fax_number": "305-631-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453937",
            "telephone_number": "305-206-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA SERENA 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "SOLANO",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-206-5342"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140588800",
            "state": "FL"
        }
    ],
    "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 7, 2012; 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.