Miller Drive & Galloway Family Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11720 Issued in FL

Legal business name

MILLER DRIVE & GALLOWAY FAMILY HOME, INC.

Practice address

5920 SW 83Rd Ave
Miami, FL 33143-1519

Phone

(305) 761-4445

NPI assigned

Jan 18, 2010

Organization subpart

No

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

Authorized official

Name

Faustino Fernandez

Title

Owner-Administrator

Phone

(305) 412-2061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1851622757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SW 83RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331431519",
            "telephone_number": "305-761-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SW 83RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331431519",
            "telephone_number": "305-761-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER DRIVE & GALLOWAY FAMILY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "FAUSTINO",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "305-412-2061"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.