1. Home
  2. Directory
  3. Florida
  4. Miami Lakes
  5. Assisted Living Facility
  6. NPI Profile

MIAMI LAKES RETIREMENT HOME
NPI 1063535854
Assisted Living Facility in Miami Lakes, FL

Active since April 09, 2007
16837 N. W. 91 CT., MIAMI LAKES, FL 33018(305) 549-8657(305) 816-9996 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Miami Lakes Retirement Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIAMI LAKES RETIREMENT HOME (NPI 1063535854) is a healthcare organization registered as an assisted living facility in Miami Lakes, Florida and active in the NPI registry since April 2007. The organization lists Yeney Suarez, Owner, as its authorized official.

NPPES Registry Identity

NPI1063535854
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRY CLUB LIVING , INC.
Location Address16837 N. W. 91 CT.Miami Lakes, FL 33018
Mailing Address16837 N. W. 91 Ct.Miami Lakes, FL 33018 · (305) 549-8657 · Fax (305) 816-9996
Phone(305) 549-8657
Fax(305) 816-9996
Organization SubpartNo
Authorized OfficialYeney SuarezOwner · (786) 715-8902
Enumeration DateApril 9, 2007
Last NPPES UpdateJanuary 27, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1063535854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL10449
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.
16837 N. W. 91 CT., Miami Lakes, FL 33018
Open in Google Maps ↗

Other Names 1

Doing Business AsMiami Lakes Retirement Home

Other Identifiers 2

Medicaid142170100FL
Medicaid689009100FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Club Living , Inc.'s NPI number?

The NPI number for Country Club Living , Inc. is 1063535854. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Miami Lakes Retirement Home.

Where is Country Club Living , Inc. located?

Country Club Living , Inc. is located at 16837 N. W. 91 Ct., Miami Lakes, FL 33018. The listed phone number is (305) 549-8657.

What is Country Club Living , Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Country Club Living , Inc. was last updated on January 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.