Organization Active NPI

Paradise Retirement Club, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1538479696
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5902 Issued in FL
Legal business name
PARADISE RETIREMENT CLUB, INC.
Practice address
21 SW 75TH Ave
Miami, FL 33144-2417
Phone
(305) 264-2051
NPI assigned
Oct 7, 2010
Last updated
Oct 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Mrs. Irvin E Andujar
Title
Administrator
Phone
(305) 264-2051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5902 FL Primary

Addresses

Primary practice location

21 SW 75TH Ave
Miami, FL 33144-2417

Mailing address

21 SW 75TH Ave
Miami, FL 33144-2417
Phone (305) 264-2051

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1538479696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442417",
            "telephone_number": "305-264-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442417",
            "telephone_number": "305-264-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE RETIREMENT CLUB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "ANDUJAR",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-264-2051",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5902",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 7, 2010; 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.