Organization Active NPI

Buenaventura Assisted Living Facility, LLC

  • Assisted Living Facility
  • Kissimmee, FL
National Provider Identifier
1679135032
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BUENAVENTURA ASSISTED LIVING FACILITY, LLC
Practice address
140 Oaxaca LN
Kissimmee, FL 34743-7019
Phone
(407) 350-5904
Fax
(407) 641-8319
NPI assigned
Jul 5, 2019
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Maria Ruiz
Title
Administrator
Phone
(407) 350-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

140 Oaxaca LN
Kissimmee, FL 34743-7019

Mailing address

140 Oaxaca LN
Kissimmee, FL 34743-7019
Phone (407) 350-5904

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1679135032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OAXACA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437019",
            "telephone_number": "407-350-5904",
            "fax_number": "407-641-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OAXACA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437019",
            "telephone_number": "407-350-5904",
            "fax_number": "407-641-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENAVENTURA ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-350-5904"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.