Active NPI
Calvinelle Care Concept, LLC
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1740428895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CALVINELLE CARE CONCEPT, LLC
- Practice address
- 1627 NW 62ND Ter
Miami, FL 33147-7900 - Phone
- (305) 308-2728
- NPI assigned
- Jan 28, 2009
- 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
- Gayon Dunn, ARNP
- Title
- Owner/ Administrator
- Phone
- (305) 308-2728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1627 NW 62ND Ter
Miami, FL 33147-7900
Mailing address
1627 NW 62ND Ter
Miami, FL 33147-7900
Phone (305) 308-2728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006246600 | Medicaid | FL |
Other names 1
- calvinelle adult home alf
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426204800000",
"number": "1740428895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 NW 62ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331477900",
"telephone_number": "305-308-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 NW 62ND TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331477900",
"telephone_number": "305-308-2728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALVINELLE CARE CONCEPT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-28",
"last_updated": "2015-03-13",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "GAYON",
"authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
"authorized_official_telephone_number": "305-308-2728",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006246600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "calvinelle adult home alf",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.