Organization Active NPI

Victoria Retirement Home, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1972705481
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10733 Issued in FL
Legal business name
VICTORIA RETIREMENT HOME, INC.
Practice address
3755 NW 13TH Street
Miami, FL 33126-2622
Phone
(786) 380-5798
Fax
(305) 646-2840
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Danais Pardo
Title
President
Phone
(786) 380-5798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10733 FL Primary

Addresses

Primary practice location

3755 NW 13TH Street
Miami, FL 33126-2622

Mailing address

3755 NW 13TH Street
Miami, FL 33126-2622
Phone (786) 380-5798

Other identifiers 1

IdentifierTypeStateIssuer
142524200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1972705481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 NW 13TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262622",
            "telephone_number": "786-380-5798",
            "fax_number": "305-646-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 NW 13TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262622",
            "telephone_number": "786-380-5798",
            "fax_number": "305-646-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "DANAIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-380-5798"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142524200",
            "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 Nov 2, 2022; 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.