SAMPEDRO RESIDENCE INC. NPI 1174642391

NPI Information

NPI: 1174642391
Provider Name: SAMPEDRO RESIDENCE INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3240 NW 14TH ST
MIAMI, FL
ZIP 33125
Phone: (305) 633-8607
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SAMPEDRO RESIDENCE 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. SAMPEDRO RESIDENCE INC. NPI is 1174642391. The provider is registered as an organization entity type.

The provider's business location address is:

3240 NW 14TH ST
MIAMI, FL
ZIP 33125-802
Phone: (305) 633-8607
Fax: (305) 633-8607

The provider's authorized official is Deborah Rosello .
The authorized official title is President and has the following contact phone number (305) 633-8607.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

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	310400000X	Assisted Living Facility		AL8137	FLORIDA	Yes

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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