Bellagio Palms Alf II Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BELLAGIO PALMS ALF II INC

Practice address

21 NW 133Rd PL
Miami, FL 33182-1642

Phone

(305) 988-0659

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Grettell Lopez

Title

Owner

Phone

(305) 988-0659

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1760052955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NW 133RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821642",
            "telephone_number": "305-988-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NW 133RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821642",
            "telephone_number": "305-988-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAGIO PALMS ALF II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GRETTELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-988-0659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110775300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.