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VIDA NUEVA #1 NPI 1801179403


NPI Information

NPI: 1801179403
Provider Name: VIDA NUEVA #1
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
745 NW 102ND ST
MIAMI, FL
ZIP 33150
Phone: (305) 758-1629
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VIDA NUEVA #1 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. VIDA NUEVA #1 NPI is 1801179403. The provider is registered as an organization entity type.

The provider's business location address is:

745 NW 102ND ST
MIAMI, FL
ZIP 33150-338
Phone: (305) 758-1629

The provider's authorized official is Mildrey Rojas .
The authorized official title is Owner/administrator and has the following contact phone number (305) 758-1629.

The enumeration date for this NPI number is 9/21/2011 and was last updated on 9/21/2011.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL10840FLORIDAYes

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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