Provider Type Icon

RESIDENTIAL PLAZA AT BLUE LAGOON NPI 1548546559


NPI Information

NPI: 1548546559
Provider Name: RESIDENTIAL PLAZA AT BLUE LAGOON
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2203072

Address:
5617 NW 7TH ST
MIAMI, FL
ZIP 33126
Phone: (305) 267-2700
Get Directions

RESIDENTIAL PLAZA AT BLUE LAGOON 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. RESIDENTIAL PLAZA AT BLUE LAGOON NPI is 1548546559. The provider is registered as an organization entity type.

The provider's business location address is:

5617 NW 7TH ST
MIAMI, FL
ZIP 33126-216
Phone: (305) 267-2700
Fax: (305) 267-2708

The provider's authorized official is Barbara Galindo .
The authorized official title is Administrator and has the following contact phone number (305) 267-2700.

The CLIA number assigned to this NPI record is 10D2203072 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2011 and was last updated on 10/24/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL7551FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1140772400MEDICAIDFLORIDA
2676874100MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.