VILLA SERENA IV INC NPI 1306102926

NPI Information

NPI: 1306102926
Provider Name: VILLA SERENA IV, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
754 NW 22ND CT
MIAMI, FL
ZIP 33125
Phone: (305) 206-5342
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VILLA SERENA IV, 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. VILLA SERENA IV, INC NPI is 1306102926. The provider is registered as an organization entity type.

The provider's business location address is:

754 NW 22ND CT
MIAMI, FL
ZIP 33125-309
Phone: (305) 206-5342
Fax: (305) 668-0346

The provider's authorized official is Roxana Solano .
The authorized official title is Owner and has the following contact phone number (305) 240-7131.

The enumeration date for this NPI number is 4/9/2012 and was last updated on 4/22/2020.

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		AL10868	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	142653200	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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