Organization Active NPI

Mundi Home LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1740870369
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MUNDI HOME LLC
Practice address
9970 SW 38TH Ter
Miami, FL 33165-3938
Phone
(786) 703-1616
Fax
(786) 637-2466
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Fredy J Fages
Title
Owner
Phone
(786) 219-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9970 SW 38TH Ter
Miami, FL 33165-3938

Mailing address

9970 SW 38TH Ter
Miami, FL 33165-3938
Phone (786) 703-1616

Other identifiers 1

IdentifierTypeStateIssuer
AL13546OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1740870369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 SW 38TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653938",
            "telephone_number": "786-703-1616",
            "fax_number": "786-637-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 SW 38TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653938",
            "telephone_number": "786-703-1616",
            "fax_number": "786-637-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDI HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "FAGES",
        "authorized_official_first_name": "FREDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-219-7622"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL13546",
            "state": "FL"
        }
    ],
    "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 Jan 19, 2021; 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.