AMANDA'S PARADISE INC NPI 1124234174

NPI Information

NPI: 1124234174
Provider Name: AMANDA'S PARADISE, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6132 SW 129TH CT
MIAMI, FL
ZIP 33183
Phone: (305) 386-6695
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AMANDA'S PARADISE, INC is an assisted living facility in Miami, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. AMANDA'S PARADISE, INC NPI is 1124234174. The provider is registered as an organization entity type.

The provider's business location address is:

6132 SW 129TH CT
MIAMI, FL
ZIP 33183-238
Phone: (305) 386-6695

The provider's authorized official is Carmen R Vera .
The authorized official title is President and has the following contact phone number (305) 386-6695.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 1/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	10168	FLORIDA	No
2	310400000X	Assisted Living Facility		10168	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	142154900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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