NPIMap

Organization Active NPI

Villa Maria Senior Residence, Corp.

Doing business as Tiffany ALF

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1790118214
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9350 Issued in FL
Legal business name
VILLA MARIA SENIOR RESIDENCE, CORP.
Doing business as
Tiffany ALF
Practice address
19240 SW 124TH CT
Miami, FL 33177-6500
Phone
(305) 278-7314
Fax
(305) 278-7314
NPI assigned
Aug 20, 2013
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mariella M Collado
Title
Owner/Administrator
Phone
(305) 278-7314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9350 FL Primary

Addresses

Primary practice location

19240 SW 124TH CT
Miami, FL 33177-6500

Mailing address

19240 SW 124TH CT
Miami, FL 33177-6500
Phone (305) 278-7314

Other names 1

  • Tiffany ALF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1790118214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19240 SW 124TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776500",
            "telephone_number": "305-278-7314",
            "fax_number": "305-278-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19240 SW 124TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776500",
            "telephone_number": "305-278-7314",
            "fax_number": "305-278-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MARIA SENIOR RESIDENCE, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "MARIELLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-278-7314"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 2013; 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.