Organization Active NPI

Midway Retirement Residence

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1639325459
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6647 Issued in FL
Legal business name
MIDWAY RETIREMENT RESIDENCE
Practice address
93 SW 79TH CT
Miami, FL 33144-2233
Phone
(305) 266-1499
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Susana G Groisman
Title
Adminsitrator
Phone
(305) 266-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL6647 FL Primary

Addresses

Primary practice location

93 SW 79TH CT
Miami, FL 33144-2233

Mailing address

93 SW 79TH CT
Miami, FL 33144-2233
Phone (305) 266-1499

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1639325459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 SW 79TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442233",
            "telephone_number": "305-266-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 SW 79TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442233",
            "telephone_number": "305-266-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY RETIREMENT RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "GROISMAN",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "305-266-1499"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6647",
            "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 Aug 12, 2008; 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.