Organization
MIMAS MEADOW HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYLEN OLIVA GONZALEZ (MGRM/OWNER)
(786) 537-9495
Entity
Organization
Contact information
Practice address
10162 SW 143RD PLACE, MIAMI, FL 33186-6987
(305) 456-3778
(305) 382-4119
Mailing address
10162 SW 143RD PLACE, MIAMI, FL 33186-6987
(305) 456-3778
(305) 382-4119
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10922
FL
Other
Enumeration date
10/20/2010
Last updated
11/02/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up