Organization Active NPI

Vida Nueva #1

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1801179403
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL10840 Issued in FL
Legal business name
VIDA NUEVA #1
Practice address
745 NW 102ND St
Miami, FL 33150-1338
Phone
(305) 758-1629
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mildrey Rojas
Title
Owner/Administrator
Phone
(305) 758-1629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL10840 FL Primary

Addresses

Primary practice location

745 NW 102ND St
Miami, FL 33150-1338

Mailing address

745 NW 102ND St
Miami, FL 33150-1338
Phone (305) 758-1629

National Provider Directory

National Provider Directory
Tax ID family
Vida Nueva 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1801179403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NW 102ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501338",
            "telephone_number": "305-758-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW 102ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501338",
            "telephone_number": "305-758-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA NUEVA #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "MILDREY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-758-1629"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10840",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2011; 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.