Calvinelle Care Concept, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL11635 Issued in FL

Legal business name

CALVINELLE CARE CONCEPT, LLC

Practice address

1786 NW 47TH Ter
Miami, FL 33142-4071

Phone

(305) 308-2728

Fax

(305) 640-8316

NPI assigned

Feb 28, 2013

Organization subpart

Yes

Parent organization

CALVINELLECCARE CONCEPT, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Gayon Diana Dunn, RN

Title

President

Phone

(305) 308-2728

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Calvinelle Adult Home Alf, #2 Doing business as

Tax ID family

Calvinelle Adult Home 2 Inc2 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.

• Calvinelle Adult Home #2, Inc.

  • Assisted Living Facility
  • Miami, FL
  • NPI 1245585025
  NPD tax ID

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1821338799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY",
            "address_2": "SUITE 310",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233970",
            "telephone_number": "305-308-2728",
            "fax_number": "305-640-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 NW 47TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424071",
            "telephone_number": "305-308-2728",
            "fax_number": "305-640-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVINELLE CARE CONCEPT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALVINELLECCARE CONCEPT, LLC",
        "enumeration_date": "2013-02-28",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "GAYON",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-308-2728",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL11635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006246600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvinelle Adult Home Alf, #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Calvert, RBT
• Sandra Calvi Montada
• Ibelis Calvi, APRN
• Calvinelle Adult Home #2, Inc.
• Calvinelle Care Concept, LLC
• Calvinelle South Alf
• Calvinelle West Assisted Living Facility
• Carmen De la Caridad Calvino Gonzalez
• Barbara Gallinal Calvino
• Marianela Calvis Cutino

• Assisted Living Facility (Mental Illness) in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.