Organization Active NPI

The Mlo Palace Corp.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1760070254
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THE MLO PALACE CORP.
Practice address
952 SW 136TH PL
Miami, FL 33184-3305
Phone
(786) 337-3708
NPI assigned
Jan 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Mailyn Lopez Olivera
Title
Owner
Phone
(786) 337-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

952 SW 136TH PL
Miami, FL 33184-3305

Mailing address

952 SW 136TH PL
Miami, FL 33184-3305

Other practice location 1

13985 SW 22nd St
Miami, FL 33175-7006
Phone (786) 337-3708

Other identifiers 1

IdentifierTypeStateIssuer
1679087910MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1760070254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 SW 136TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 SW 136TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843305",
            "telephone_number": "786-337-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13985 SW 22nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331757006",
            "country_code": "US",
            "telephone_number": "786-337-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MLO PALACE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ OLIVERA",
        "authorized_official_first_name": "MAILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-337-3708"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679087910",
            "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 9, 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.