Ma Sal Universal Nursing Realty, LLC.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MA SAL UNIVERSAL NURSING REALTY, LLC.

Doing business as

Salome's Haven

Practice address

17120 SW 49TH PL
Miramar, FL 33027-4919

Phone

(954) 985-8045

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

MA SAL UNIVERSAL NURSING REALTY, LLC.As reported in NPPES

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

Authorized official

Name

Salena Burgess, APRNNPI 1639755408

Title

Manager

Phone

(954) 985-8045

Specialties & licenses 1

Addresses

Other names 1

• SALOME'S HAVEN Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Ma Sal Universal Nursing

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salena Burgess, APRN

  • Adult Health Nurse Practitioner
  • Lauderdale Lakes, FL
  • NPI 1639755408
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1982586996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17120 SW 49TH PL",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274919",
            "telephone_number": "954-985-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17120 SW 49TH PL",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274919",
            "telephone_number": "954-985-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA SAL UNIVERSAL NURSING REALTY, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MA SAL UNIVERSAL NURSING REALTY, LLC.",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "SALENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-985-8045",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALOME'S HAVEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Health Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.