Organization Active NPI

West Miami Adult Living Facility, Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1871749077
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10925 Issued in FL
Legal business name
WEST MIAMI ADULT LIVING FACILITY, INC
Practice address
7215 SW 21St St
Miami, FL 33155-1472
Phone
(305) 300-7721
Fax
(305) 223-2371
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Belkis Villalba
Title
Owner/Administrator
Phone
(305) 300-7721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10925 FL Primary

Addresses

Primary practice location

7215 SW 21St St
Miami, FL 33155-1472

Mailing address

7215 SW 21St St
Miami, FL 33155-1472
Phone (305) 300-7721

Other identifiers 1

IdentifierTypeStateIssuer
142758000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1871749077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 SW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551472",
            "telephone_number": "305-300-7721",
            "fax_number": "305-223-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 SW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551472",
            "telephone_number": "305-300-7721",
            "fax_number": "305-223-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MIAMI ADULT LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "VILLALBA",
        "authorized_official_first_name": "BELKIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-300-7721"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142758000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "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 Aug 7, 2008; 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.