Organization Active NPI

Myrtles Retirement Home

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1811411341
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
113040 Issued in FL
Legal business name
MYRTLES RETIREMENT HOME
Practice address
50 NW 184TH Ter
Miami, FL 33169-4512
Phone
(305) 653-4436
Fax
(305) 465-3443
NPI assigned
Jul 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Myrtle Suckie
Title
Owner
Phone
(305) 653-4436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 113040 FL Primary

Addresses

Primary practice location

50 NW 184TH Ter
Miami, FL 33169-4512

Mailing address

50 NW 184TH Ter
Miami, FL 33169-4512
Phone (305) 653-4436

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811411341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NW 184TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694512",
            "telephone_number": "305-653-4436",
            "fax_number": "305-465-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NW 184TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694512",
            "telephone_number": "305-653-4436",
            "fax_number": "305-465-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLES RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUCKIE",
        "authorized_official_first_name": "MYRTLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-653-4436"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "113040",
            "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 Jul 21, 2022; 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.