Organization Active NPI

Magnet Adult Home South

  • Assisted Living Facility (Behavioral Disturbances)
  • Miami, FL
National Provider Identifier
1730498221
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
AL11846 Issued in FL
Legal business name
MAGNET ADULT HOME SOUTH
Practice address
1451 NW 40 Street
Miami, FL 33142
Phone
(305) 607-5549
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Mrs. Gerda Williams, A.R.N.P
Title
President
Phone
(305) 607-5549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X AL11846 FL Primary

Addresses

Primary practice location

1451 NW 40 Street
Miami, FL 33142

Mailing address

6151 Miramar Parkway
Miramar, FL 33023
Phone (305) 607-5549

National Provider Directory

National Provider Directory

Locations

6151 Miramar Pkwy
Miramar, FL 33023
Phone (954) 603-5100

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1730498221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PARKWAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33023",
            "telephone_number": "305-607-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 NW 40 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-607-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNET ADULT HOME SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GERDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-607-5549",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.R.N.P"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "FL",
            "license": "AL11846",
            "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 Sep 30, 2010; 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.