Miami Lakes Retirement Home

LBN: Country Club Living , Inc.
Miami Lakes Retirement Home is an health care organization with primary practice located at 16837 N. W. 91 Ct. , Miami Lakes FL 33018. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Country Club Living , Inc. can be contacted via phone (305) 549-8657, or through Suarez, Yeney via phone (786) 715-8902.

Contact Information

Primary practice address
16837 N. W. 91 Ct. Miami Lakes FL 33018
Phone: (305) 549-8657
Fax: (305) 816-9996
Website:
Map and Directions
Authorized official contact:
Name: Suarez, Yeney
Phone: (786) 715-8902

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10449 Florida

Profile Details

NPI number 1063535854
LBN Legal business name Country Club Living , Inc.
DBA Doing business as Miami Lakes Retirement Home
Authorized official Suarez, Yeney
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Jan 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063535854 NPPES
Florida MEDICAID 142170100
Florida MEDICAID 689009100

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