Edad de Oro Senior Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 10928 Issued in FL

Legal business name

EDAD DE ORO SENIOR CARE

Practice address

17891 SW 152ND CT
Miami, FL 33187-7771

Phone

(305) 807-7547

Fax

(305) 225-1289

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Rodolfo Leon

Title

Administrator

Phone

(305) 807-7547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831307149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17891 SW 152ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877771",
            "telephone_number": "305-807-7547",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17891 SW 152ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877771",
            "telephone_number": "305-807-7547",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDAD DE ORO SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-807-7547"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.