NUEVA VIDA #1, INC.


Address: 745 Nw 102 St, Miami, FL 33150-1338
Phone: 7864448788

NUEVA VIDA #1, INC. (NPI# 1083825137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083825137
Entity Type Organization
Organization Name NUEVA VIDA #1, INC.
Practice Address 745 Nw 102 St
Miami
FL 33150-1338
Mailing Address 745 Nw 102nd St
Miami
FL 33150-1338
Practice Telephone 7864448788
Practice Fax Number 3057511831
Mailing Telephone 7864448788
Mailing Fax Number 3057511831
Enumeration Date 2007-05-24
Last Update Date 2008-07-22
Authorized Official Name ARTURO HERNANDEZ (PRESIDENT)
Authorized Official Telephone 7863460676
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
10840 FL Nursing & Custodial Care Facilities
Y 310400000X Assisted Living Facility 10840 FL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 142676100 05

Office Location

Street Address 745 NW 102 ST
City MIAMI
State FL
Zip Code 33150-1338

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NPI Name Taxonomy Address Enumeration
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1972023976 Charlotte Jenies Behavior Technician 1080 Nw 85 Th St, Miami, FL 33150 2017-06-21
1528501293 Aneisha Samuels Counselor 291 Nw 104 Street, Miami Shores, FL 33150 2016-11-29
1568824977 Francia Alexandre Behavioral Analyst 320 Nw 99th St, Miami, FL 33150 2016-03-24
1306201710 Howard Lane Counselor 9198 Nw 8th Avenue, Miami, FL 33150 2015-12-30
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1871988741 Niveditha Bhaskarla Psychiatry & Neurology 1190 Nw 95th St Ste 110, Miami, FL 33150 2015-03-30
1821496852 Affirming Youth Foundation, Inc. Voluntary or Charitable 150 Nw 79 Street, Suite 342, Miami, FL 33150 2014-12-08
1023440930 Magda Demerritt Social Worker 7634 Nw 4th Ave, Miami, FL 33150 2013-08-01
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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.
Notes: [7/1/2003: new]

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1851918742 Lady Elizabeth Alf Inc. Assisted Living Facility 16351 Sw 42nd Ter, Miami, FL 33185-3869 2020-06-26
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Competitor

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City MIAMI
Zip Code 33150

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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