Organization Active NPI

Villa Rosa IV, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • Hialeah, FL
National Provider Identifier
1790276905
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
VILLA ROSA IV, INC.
Practice address
3051 E. 4 Avenue
Hialeah, FL 33013
Phone
(305) 693-2700
Fax
(305) 888-7733
NPI assigned
May 23, 2018
Last updated
Nov 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Michele Perez
Title
President/Owner
Phone
(305) 693-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

3051 E. 4 Avenue
Hialeah, FL 33013

Mailing address

3051 E. 4 Avenue
Hialeah, FL 33013
Phone (305) 693-2700

National Provider Directory

National Provider Directory

Locations

1760 E 1st Ave
Hialeah, FL 33010
Phone (305) 885-7733

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1790276905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 E. 4 AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-693-2700",
            "fax_number": "305-888-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 E. 4 AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-693-2700",
            "fax_number": "305-888-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ROSA IV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-693-2700"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.