Silver Sparks Residential Care LLC Dba Adult Leisure Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SILVER SPARKS RESIDENTIAL CARE LLC DBA ADULT LEISURE LIVING

Practice address

15650 W Bunche Park Dr
Miami Gardens, FL 33054-6965

Phone

(305) 705-2347

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Lavern Marie Gordon Thomas

Title

Administrator

Phone

(786) 506-6778

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADULT LEISURE LIVING Doing business as

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1497453088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 W BUNCHE PARK DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546965",
            "telephone_number": "305-705-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 W BUNCHE PARK DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546965",
            "telephone_number": "305-705-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPARKS RESIDENTIAL CARE LLC DBA ADULT LEISURE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-11",
        "status": "A",
        "authorized_official_last_name": "GORDON THOMAS",
        "authorized_official_first_name": "LAVERN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-506-6778",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTHCARE ADMINISTRATION LICENSE",
            "identifier": "12063",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADULT LEISURE LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heradia Yaheli Sierra
• Stephanie Silencieux
• Yaniry Silva Felipe
• Nestor Silva Toledo
• Emilio Silva, CHT
• Indra Silverio Gonzalez, BS, RBT
• Simmonds Trust N Care, LLC
• Norlan Simon Andreu
• Harleen Singh, MD
• Ronda S Singh, O.D.

• Assisted Living Facility in Miami Gardens, FL
• Providers in Miami Gardens, 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 Feb 22, 2023; 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.