Organization Active NPI

Vida Holistica Alf Corp.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1639715204
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VIDA HOLISTICA ALF CORP.
Practice address
8721 SW 56TH St
Miami, FL 33165-6755
Phone
(305) 418-0440
Fax
(305) 418-0440
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Ivonne GarciaNPI 1124479217
Title
Owner/Admin.
Phone
(786) 302-1332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8721 SW 56TH St
Miami, FL 33165-6755

Mailing address

8721 SW 56TH St
Miami, FL 33165-6755
Phone (305) 418-0440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1639715204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656755",
            "telephone_number": "305-418-0440",
            "fax_number": "305-418-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656755",
            "telephone_number": "305-418-0440",
            "fax_number": "305-418-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HOLISTICA ALF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "786-302-1332"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Nov 19, 2019; 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.