OLD DOMINIUM, INC
NPI 1497934954
Assisted Living Facility - Assisted Living, Mental Illness in Miami, FL

Active since October 31, 2007
9820 SW 72ND ST, MIAMI, FL 33173(305) 219-9445 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Old Dominium, Inc NPPES

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

OLD DOMINIUM, INC (NPI 1497934954) is a healthcare organization registered as an assisted living, mental illness in Miami, Florida and active in the NPI registry since October 2007. The organization lists Jorge Luis Sosa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497934954
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameOLD DOMINIUM, INC
Location Address9820 SW 72ND STMiami, FL 33173-4618
Mailing Address9820 Sw 72nd StMiami, FL 33173-4618 · (305) 219-9445
Organization SubpartNo
Authorized OfficialJorge Luis SosaAdministrator · (305) 219-9445
Enumeration DateOctober 31, 2007
NPI 1497934954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in FL · AL11130
Definition
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.
9820 SW 72ND ST, Miami, FL 33173

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
9820 SW 72ND ST
MIAMI, FL 33173
Assisted Living Facility
9820 SW 72ND ST
MIAMI, FL 33173

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 Old Dominium, Inc's NPI number?

The NPI number for Old Dominium, Inc is 1497934954. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Old Dominium, Inc located?

Old Dominium, Inc is located at 9820 SW 72nd St, Miami, FL 33173. The listed phone number is (305) 219-9445.

What is Old Dominium, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Old Dominium, Inc was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.