Organization Active NPI

Buena Vista Assisted Living Facility

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1790280220
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10375 Issued in FL
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

Updated by the provider on Sep 14, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10375OtherFLAHCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.