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EAST RIDGE RETIREMENT VILLAGE, INC.
NPI 1194042192
Home Health in Miami, FL

Active since April 29, 2010CLIA 10D0879516 · Waiver
19301 SW 87TH AVENUE, MIAMI, FL 33157(305) 238-2623(305) 256-3516 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Ridge Retirement Village, Inc. NPPES

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

EAST RIDGE RETIREMENT VILLAGE, INC. (NPI 1194042192) is a healthcare organization registered as a home health in Miami, Florida and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Gary M. Gregory, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1194042192
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEAST RIDGE RETIREMENT VILLAGE, INC.
Location Address19301 SW 87TH AVENUEMiami, FL 33157-8999
Mailing Address19301 Sw 87th AvenueMiami, FL 33157-8999 · (305) 238-2623 · Fax (305) 256-3516
Phone(305) 238-2623
Fax(305) 256-3516
Organization SubpartNo
Authorized OfficialGary M. GregoryChairman Of The Board · (305) 669-6000
Enumeration DateApril 29, 2010
✔ NPI 1194042192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in FL · 20315096
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
19301 SW 87TH AVENUE, Miami, FL 33157
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0879516

East Ridge Retirement Village Inc · Cutler Bay, FL
Active · expires Nov 18, 2027
CLIA Number10D0879516
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorMytchell Chancy
Laboratory Phone(305) 609-9417
Laboratory LocationEast Ridge Retirement Village Inc19225 SW 87th Ave, Cutler Bay, FL 33157
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 East Ridge Retirement Village, Inc.'s NPI number?

The NPI number for East Ridge Retirement Village, Inc. is 1194042192. It was assigned to this organization in the NPPES registry on April 29, 2010.

Where is East Ridge Retirement Village, Inc. located?

East Ridge Retirement Village, Inc. is located at 19301 SW 87th Avenue, Miami, FL 33157. The listed phone number is (305) 238-2623.

What is East Ridge Retirement Village, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does East Ridge Retirement Village, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0879516) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Ridge Retirement Village, Inc. was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.