Active NPI
MP Diversified Services Corp
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1730428806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11641
- Legal business name
- MP DIVERSIFIED SERVICES CORP
- Practice address
- 311 SW 71St Ave
Miami, FL 33144 - Phone
- (305) 418-0731
- Fax
- (305) 418-0731
- NPI assigned
- Feb 8, 2013
- Last updated
- May 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Fundora
- Title
- Owner
- Phone
- (786) 380-7553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11641 | FL | Primary |
Addresses
Primary practice location
311 SW 71St Ave
Miami, FL 33144
Mailing address
311 SW 71St Ave
Miami, FL 33144
Phone (305) 418-0731
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1730428806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 SW 71ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33144",
"telephone_number": "305-418-0731",
"fax_number": "305-418-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 SW 71ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33144",
"telephone_number": "305-418-0731",
"fax_number": "305-418-0731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MP DIVERSIFIED SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-08",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "FUNDORA",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-380-7553"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL11641",
"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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.