Organization Active NPI

Calvinelle Care Concept, LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1740428895
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Mar 13, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
006246600MedicaidFL

Other names 1

  • calvinelle adult home alf Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.