Organization Active NPI

Residential Plaza at Blue Lagoon

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1548546559
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7551 Issued in FL
Legal business name
RESIDENTIAL PLAZA AT BLUE LAGOON
Practice address
5617 NW 7TH St
Miami, FL 33126-3216
Phone
(305) 267-2700
Fax
(305) 267-2708
NPI assigned
Oct 24, 2011
Last updated
Oct 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Barbara Galindo
Title
Administrator
Phone
(305) 267-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7551 FL Primary

Addresses

Primary practice location

5617 NW 7TH St
Miami, FL 33126-3216

Mailing address

5617 NW 7TH St
Miami, FL 33126-3216
Phone (305) 267-2700

Other identifiers 2

IdentifierTypeStateIssuer
140772400MedicaidFL
676874100MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2203072Residential Plaza at Blue Lagoon Inc5617 NW 7TH St, Miami, FL 33126Certificate of waiverDec 1, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1548546559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263216",
            "telephone_number": "305-267-2700",
            "fax_number": "305-267-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263216",
            "telephone_number": "305-267-2700",
            "fax_number": "305-267-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL PLAZA AT BLUE LAGOON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "GALINDO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-267-2700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140772400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676874100",
            "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 Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.