Prince of Peace Elderly Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8807 Issued in FL

Legal business name

PRINCE OF PEACE ELDERLY CARE

Practice address

13232 NW 9TH LN
Miami, FL 33182-2242

Phone

(305) 485-9675

Fax

(305) 485-9674

NPI assigned

Jun 2, 2008

Last updated

Mar 8, 2013By 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

Elvis Quintana

Title

Pres.

Phone

(305) 485-9675

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1801055298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13232 NW 9TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822242",
            "telephone_number": "305-485-9675",
            "fax_number": "305-485-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13232 NW 9TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822242",
            "telephone_number": "305-485-9675",
            "fax_number": "305-485-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE OF PEACE ELDERLY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "305-485-9675"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primenet Medical Group, Inc.
• Primetrust Medical Supplies LLC
• Yulika Primo Matos
• Primos Caregivers LLC
• Maria Prince Failde
• Amel Maria Prince Rodriguez, APRN
• Terra Ladaun Prince-Engram, LCSW, CAP, ICADC
• Rafiah Prince, LMFT
• Rosemary Prince, MD
• Ryan Tappan Prince, PA-C

• 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 Mar 8, 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.