Organization Active NPI

Viventum Health

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1982079497
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VIVENTUM HEALTH
Practice address
4601 NW 77TH Ave
Miami, FL 33166-6449
Phone
(305) 262-1292
Fax
(305) 675-7825
NPI assigned
Dec 9, 2015
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
INDEPENDENT LIVING SYSTEMS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Mr. Horacio Soberon Jr.
Title
General Manager
Phone
(305) 262-1292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4601 NW 77TH Ave
Miami, FL 33166-6449

Mailing address

4601 NW 77TH Ave
Miami, FL 33166-6449
Phone (305) 262-1292

National Provider Directory

National Provider Directory
Part of
Independent Living Systems

Locations

5200 Blue Lagoon Dr
Ste 500
Miami, FL 33126
Phone (305) 262-1292

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1982079497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666449",
            "telephone_number": "305-262-1292",
            "fax_number": "305-675-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666449",
            "telephone_number": "305-262-1292",
            "fax_number": "305-675-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVENTUM HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDEPENDENT LIVING SYSTEMS, LLC",
        "enumeration_date": "2015-12-09",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "SOBERON",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "305-262-1292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 26, 2020; 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.