Organization Active NPI

Maylu Retirement Home, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1780887042
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7716 Issued in FL
Legal business name
MAYLU RETIREMENT HOME, INC.
Practice address
4751 NW 4TH Ter
Miami, FL 33126-2115
Phone
(305) 445-0380
NPI assigned
Jun 6, 2007
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Anibal Morgado
Title
President
Phone
(305) 445-0380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7716 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X 7716 FL

Addresses

Primary practice location

4751 NW 4TH Ter
Miami, FL 33126-2115

Mailing address

4751 NW 4TH Ter
Miami, FL 33126-2115
Phone (305) 445-0380

Other identifiers 1

IdentifierTypeStateIssuer
142703200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Maylu Retirement Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4751 NW 4th Ter
Miami, FL 33126
Phone (305) 387-5863

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1780887042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 NW 4TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262115",
            "telephone_number": "305-445-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 NW 4TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262115",
            "telephone_number": "305-445-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYLU RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "MORGADO",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-445-0380"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7716",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "7716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142703200",
            "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 Feb 8, 2012; 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.