Active NPI
Miami Gardens Manor, Inc.
- Assisted Living Facility
- Miami Gardens, FL
National Provider Identifier
1922305200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11092
- Legal business name
- MIAMI GARDENS MANOR, INC.
- Practice address
- 915 NW 175TH St
Miami Gardens, FL 33169-4613 - Phone
- (954) 815-8171
- NPI assigned
- Feb 22, 2011
- 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
- Novelette Beharie- Thomas
- Title
- Owner/Administrator
- Phone
- (954) 815-8171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11092 | FL | Primary |
Addresses
Primary practice location
915 NW 175TH St
Miami Gardens, FL 33169-4613
Mailing address
915 NW 175TH St
Miami Gardens, FL 33169-4613
Phone (954) 815-8171
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Fort Lauderdale, FL
- NPI 1588702195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298332800000",
"number": "1922305200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 NW 175TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331694613",
"telephone_number": "954-815-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 NW 175TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331694613",
"telephone_number": "954-815-8171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI GARDENS MANOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A",
"authorized_official_last_name": "BEHARIE- THOMAS",
"authorized_official_first_name": "NOVELETTE",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "954-815-8171"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL11092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
- Miami Gardens Alf Inc
- Miami Gardens Counseling Service LLC
- Miami Gardens Dental,Inc
- Miami Gardens Eye Care II
- Miami Gardens Eye Care, LLC
- Miami Gardens Medical PL
- Miami Gardens Orthopedics and Pain Management
- Miami Gardens Physical Therapy and Rehab Center, LLC
- Miami Kids Therapy,Inc
- Miange Medical Center Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.