Palm Garden II, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL8598 Issued in FL

Legal business name

PALM GARDEN II, INC.

Doing business as

Palm Garden VI

Practice address

1214 W 78TH Ter
Hialeah, FL 33014-3442

Phone

(786) 537-9495

Fax

(305) 826-9865

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Aylen Olivia Gonzalez

Title

President

Phone

(786) 537-9495

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Garden VI Doing business as

Tax ID family

Palm Garden II Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palm Garden II ,Inc.

  • Assisted Living Facility (Mental Illness)
  • Hialeah, FL
  • NPI 1306093521
  NPD tax ID

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1508013731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 W 78TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143442",
            "telephone_number": "786-537-9495",
            "fax_number": "305-826-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 W 78TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143442",
            "telephone_number": "786-537-9495",
            "fax_number": "305-826-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM GARDEN II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "OLIVIA GONZALEZ",
        "authorized_official_first_name": "AYLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-537-9495"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL8598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103494000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Garden VI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Garden VI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Palm Garden II ,Inc.
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• Palm Gardens Manors Inc (a new horizon manor)
• Palm Lake Medical Center Inc

• Assisted Living Facility (Mental Illness) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.