Active NPI
Buena Vista Assisted Living Facility
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1790280220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 10375
- Legal business name
- BUENA VISTA ASSISTED LIVING FACILITY
- Practice address
- 14532 SW 38TH LN
Miami, FL 33175 - Phone
- (305) 220-2740
- Fax
- (305) 220-2740
- NPI assigned
- Mar 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny M Rodriguez
- Title
- Owner
- Phone
- (305) 815-2323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 10375 | FL | Primary |
Addresses
Primary practice location
14532 SW 38TH LN
Miami, FL 33175
Mailing address
14532 SW 38TH LN
Miami, FL 33175
Phone (305) 220-2740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10375 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1790280220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14532 SW 38TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "305-220-2740",
"fax_number": "305-220-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14532 SW 38TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "33175",
"telephone_number": "305-220-2740",
"fax_number": "305-220-2740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUENA VISTA ASSISTED LIVING FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-27",
"last_updated": "2023-09-14",
"certification_date": "2021-05-03",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "JENNY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-815-2323"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "10375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "10375",
"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 Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.