Active NPI
Prestige Care Aventura LLC
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1871004630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 12991
- Legal business name
- PRESTIGE CARE AVENTURA LLC
- Practice address
- 19840 NE 26TH Ave
Miami, FL 33180-2208 - Phone
- (305) 912-7799
- NPI assigned
- Oct 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roman Goldenberg
- Title
- Administrator
- Phone
- (305) 397-3829
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 12991 | FL | Primary |
| Assisted Living Facility | 310400000X |
Addresses
Primary practice location
19840 NE 26TH Ave
Miami, FL 33180-2208
Mailing address
19840 NE 26TH Ave
Miami, FL 33180-2208
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | prestigecareaventura@gmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710288000000",
"number": "1871004630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19840 NE 26TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331802208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19840 NE 26TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331802208",
"telephone_number": "305-912-7799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE CARE AVENTURA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-19",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A",
"authorized_official_last_name": "GOLDENBERG",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-397-3829"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "12991",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "prestigecareaventura@gmail.com",
"affiliation": "N",
"endpointDescription": "e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "19840 NE 26th Ave",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331802208",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.