Royal Green Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 10020 Issued in FL

Legal business name

ROYAL GREEN ALF INC

Practice address

2011 SW 4TH St
Miami, FL 33135-1811

Phone

(305) 643-9786

Fax

(305) 225-1289

NPI assigned

May 23, 2007

Reactivated

Jul 7, 2008

Last updated

Aug 4, 2014By 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

Erick Bermudez

Title

Administrator

Phone

(305) 643-9786

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1780894865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 SW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351811",
            "telephone_number": "305-643-9786",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 SW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351811",
            "telephone_number": "305-643-9786",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL GREEN ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-08-04",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-643-9786"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140946800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royal Care Medical Group Corp
• Royal Care Medical Rental, Inc.
• Royal Coast Rehabilitation Center, Inc.
• Royal Dentistry Studio LLC
• Royal Gardens Villa, Inc.
• Royal Health Centers Inc
• Royal Health Centers Inc
• Royal Health Group Inc
• Royal Health Medical Center Inc
• Royal Hearing Aid Service LLC

• 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 Aug 4, 2014; 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.