PARK PLAZA RETIREMENT RESIDENCE, LLC (NPI# 1144354911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144354911 |
| Entity Type | Organization |
| Organization Name | PARK PLAZA RETIREMENT RESIDENCE, LLC |
| Practice Address |
15520 Nw 2cd Avenue North Miami Beach FL 33169 |
| Practice Telephone | 3059492626 |
| Practice Fax Number | 3059403945 |
| Mailing Telephone | 3059492626 |
| Mailing Fax Number | 3059403945 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL ROSENBERG (CEO) |
| Authorized Official Telephone | 3059492626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 7169 | FL | Nursing & Custodial Care Facilities |
| Street Address |
15520 NW 2CD AVENUE |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457607475 | Livewell Operations II, Inc. | Assisted Living Facility | 15520 Nw 2nd Ave, North Miami Beach, FL 33169-6710 | 2012-07-27 |
| 1871858209 | Blessing Alf, LLC | Assisted Living Facility | 1051 Ne 154th Trerrace, North Miami Beach, FL 33162 | 2012-07-11 |
| 1033401534 | The May Foundation, Inc. | Assisted Living Facility | 18001 Ne 9th Ct, North Miami Beach, FL 33162-1113 | 2011-05-03 |
| 1033436951 | 1 Zource Living Care | Assisted Living Facility | 1401 Ne 176th St, North Miami Beach, FL 33162-1363 | 2010-05-03 |
| 1629200696 | Flamingo Care LLC | Assisted Living Facility | 1270 Ne 174th St, North Miami Beach, FL 33162-1235 | 2009-08-10 |
| 1831327469 | Brinley Gardens | Assisted Living Facility | 550 Ne 171st Ter, North Miami Beach, FL 33162-3917 | 2009-06-22 |
| 1164667507 | 16565 Operating, LLC | Assisted Living Facility | 16565 Ne 4th Ave, North Miami Beach, FL 33162-3511 | 2008-12-15 |
| 1922253335 | Tender Hands Services LLC | Assisted Living Facility | 17600 Ne 2nd Ct, North Miami Beach, FL 33162-1772 | 2008-11-26 |
| 1427252790 | Rainbow Gardens Alf #3 | Assisted Living Facility | 1401 N.e. 176 St, North Miami Beach, FL 33162 | 2007-06-12 |
| 1174727432 | Rainbow Gardens Alf. #2 | Assisted Living Facility | 1801 N.e. 182 St, North Miami Beach, FL 33162 | 2007-06-12 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33169 |
Please comment or provide details below to improve the information on PARK PLAZA RETIREMENT RESIDENCE, LLC.
| 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.