Miramar Senior Living III, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL10972 Issued in FL

Legal business name

MIRAMAR SENIOR LIVING III, INC.

Practice address

15342 SW 16TH Ter
Miami, FL 33185-5841

Phone

(305) 305-1275

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Vincent Herryman

Title

Administrator

Phone

(305) 305-1275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831395474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15342 SW 16TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15342 SW 16TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855841",
            "telephone_number": "305-305-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR SENIOR LIVING III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRYMAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-305-1275"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miramar Center Services Inc
• Miramar Group Home
• Miramar Senior Living
• Miramar Senior Living II Inc
• Miramar Senior Living II, Inc.
• Miramar Senior Living IV, Inc.
• Miramar Senior Living V, Inc.
• Miramar Senior Living VI, Inc.
• Miramar Senior Living, Inc.
• Lourdes Mirambell

• 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 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.