Mimas Meadow Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10922 Issued in FL

Legal business name

MIMAS MEADOW HOME LLC

Practice address

10162 SW 143Rd Place
Miami, FL 33186-6987

Phone

(305) 456-3778

Fax

(305) 382-4119

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Aylen Oliva Gonzalez

Title

MGRM/Owner

Phone

(786) 537-9495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1619287919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10162 SW 143RD PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866987",
            "telephone_number": "305-456-3778",
            "fax_number": "305-382-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10162 SW 143RD PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866987",
            "telephone_number": "305-456-3778",
            "fax_number": "305-382-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMAS MEADOW HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "OLIVA GONZALEZ",
        "authorized_official_first_name": "AYLEN",
        "authorized_official_title_or_position": "MGRM/OWNER",
        "authorized_official_telephone_number": "786-537-9495"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milu Medical Services Corp
• Mily and Emily Transportation Inc (N/a)
• Mily Home Care Corp
• Mily Home Care Inc
• Mima S Behavior Health
• Mimi's Alf
• Mimi's Alf # 2
• Juanita Mims
• Lucy Min, MD
• George Mina

• 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 Nov 2, 2020; 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.