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ST. MARY ADULT CARE NPI 1720256829


NPI Information

NPI: 1720256829
Provider Name: ST. MARY ADULT CARE

Doing Business As: ST. MARY ADULT CARE II

Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
11271 SW 229TH TER
MIAMI, FL
ZIP 33170
Phone: (786) 504-2397
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ST. MARY ADULT CARE is an assisted living and mental illness 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 special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. ST. MARY ADULT CARE NPI is 1720256829. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Mary Adult Care Ii.

The provider's business location address is:

11271 SW 229TH TER
MIAMI, FL
ZIP 33170-563
Phone: (786) 504-2397
Fax: (305) 408-1263

The provider's authorized official is Elena Fernandez .
The authorized official title is Owner/ Administrator and has the following contact phone number (786) 393-8122.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 2/19/2014.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL11069FLORIDAYes

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
1142850100MEDICAIDFLORIDA
2692848000MEDICAIDFLORIDA

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

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