OLD DOMINIUM, INC (NPI# 1497934954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497934954 |
| Entity Type | Organization |
| Organization Name | OLD DOMINIUM, INC |
| Practice Address |
9820 Sw 72nd St Miami FL 33173-4618 |
| Practice Telephone | 3052199445 |
| Mailing Telephone | 3052199445 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | JORGE LUIS SOSA (ADMINISTRATOR) |
| Authorized Official Telephone | 3052199445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL11130 | FL | Nursing & Custodial Care Facilities |
| Street Address |
9820 SW 72ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427392638 | Sunset Senior Care of Miami, Inc | Assisted Living Facility | 9820 Sw 72nd St, Miami, FL 33173-4618 | 2012-11-15 |
| 1205159704 | Sunset Senior Care Inc | Assisted Living Facility | 9820 Sw 72nd St, Miami, FL 33173-4618 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1063925444 | Saejca's Castle LLC II | Assisted Living Facility | 761 Nw 203rd St, Miami, FL 33169-2302 | 2017-11-08 |
| 1770003352 | Granada Alf LLC | Assisted Living Facility | 11935 Sw 49th St, Miami, FL 33175-5603 | 2017-06-23 |
| 1295276111 | Alf Sweet Home, LLC | Assisted Living Facility | 9700 Sw 15th St, Miami, FL 33174-2925 | 2017-03-10 |
| 1114374527 | Triana Assisted Living Facility, Inc. | Assisted Living Facility | 12199 Sw 51st St, Miami, FL 33175-5600 | 2016-05-17 |
| 1851758676 | Winston's Alf | Assisted Living Facility | 6951 Nw 5th Ct, Miami, FL 33150-3905 | 2016-01-25 |
| 1669870754 | Pioneer Adult Facility LLC. | Assisted Living Facility | 2166 Sw 14th Ter, Miami, FL 33145-1312 | 2014-12-05 |
| 1932508678 | Laura's Elderly Homecare | Assisted Living Facility | 19500 Sw 127th Ave, Miami, FL 33177-4208 | 2014-08-19 |
| 1477983617 | Amor Y Paz Alf Inc. | Assisted Living Facility | 7851 N.w. 197th St., Miami, FL 33015 | 2013-11-26 |
| Find all providers in MIAMI | ||||
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| 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.