Organization Active NPI

Mister Amadeo'S Retirement Home Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1649416561
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 11451 Issued in FL
Legal business name
MISTER AMADEO'S RETIREMENT HOME INC.
Practice address
3625 NW 12 Terrace
Miami, FL 33125-2847
Phone
(305) 631-0574
Fax
(305) 631-0574
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Adrian Roche
Title
Presidnet
Phone
(786) 571-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 11451 FL Primary

Addresses

Primary practice location

3625 NW 12 Terrace
Miami, FL 33125-2847

Mailing address

3625 NW 12 Terrace
Miami, FL 33125-2847
Phone (305) 631-0574

Other identifiers 1

IdentifierTypeStateIssuer
000800900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1649416561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 NW 12 TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252847",
            "telephone_number": "305-631-0574",
            "fax_number": "305-631-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 NW 12 TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252847",
            "telephone_number": "305-631-0574",
            "fax_number": "305-631-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTER AMADEO'S RETIREMENT HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "786-571-2135"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 11451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000800900",
            "state": "FL"
        }
    ],
    "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 Sep 19, 2025; 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.