Organization Active NPI

Malciel Bonilla

Doing business as Quality Living Home Care

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1619491339
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
6906895 Issued in FL
Legal business name
MALCIEL BONILLA
Doing business as
Quality Living Home Care
Practice address
9830 SW 80 Dr
Miami, FL 33173
Phone
(305) 521-3021
Fax
(305) 521-3999
NPI assigned
Aug 3, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Malciel Bonilla
Title
Owner
Phone
(305) 521-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 6906895 FL Primary

Addresses

Primary practice location

9830 SW 80 Dr
Miami, FL 33173

Mailing address

9830 SW 80TH Dr
Miami, FL 33173-4037
Phone (305) 521-3021

Other names 1

  • Quality Living Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619491339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 SW 80TH DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734037",
            "telephone_number": "305-521-3021",
            "fax_number": "305-521-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 SW 80 DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-521-3021",
            "fax_number": "305-521-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCIEL BONILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "MALCIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-521-3021"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6906895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Living Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.