Idalmis Residence Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 11187 Issued in FL

Legal business name

IDALMIS RESIDENCE INC.

Practice address

3530 SW 12TH St
Miami, FL 33135

Phone

(305) 446-5720

NPI assigned

Jul 4, 2008

Organization subpart

No

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

Authorized official

Name

William Gonzalez

Title

Owner

Phone

(305) 587-8650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1619130150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-446-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 SW 12TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-446-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDALMIS RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-04",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-587-8650"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 11187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Jun 5, 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.