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MIMAS MEADOW HOME LLC
NPI 1619287919
Assisted Living Facility in Miami, FL

Active since October 20, 2010
10162 SW 143RD PLACE, MIAMI, FL 33186(305) 456-3778(305) 382-4119 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mimas Meadow Home Llc NPPES

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

MIMAS MEADOW HOME LLC (NPI 1619287919) is a healthcare organization registered as an assisted living facility in Miami, Florida and active in the NPI registry since October 2010. The organization lists Aylen Oliva Gonzalez, Mgrm/owner, as its authorized official.

NPPES Registry Identity

NPI1619287919
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMIMAS MEADOW HOME LLC
Location Address10162 SW 143RD PLACEMiami, FL 33186-6987
Mailing Address10162 Sw 143rd PlaceMiami, FL 33186-6987 · (305) 456-3778 · Fax (305) 382-4119
Phone(305) 456-3778
Fax(305) 382-4119
Organization SubpartNo
Authorized OfficialAylen Oliva GonzalezMgrm/owner · (786) 537-9495
Enumeration DateOctober 20, 2010
Last NPPES UpdateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1619287919 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 · AL10922
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.
10162 SW 143RD PLACE, Miami, FL 33186
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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 Mimas Meadow Home LLC's NPI number?

The NPI number for Mimas Meadow Home LLC is 1619287919. It was assigned to this organization in the NPPES registry on October 20, 2010.

Where is Mimas Meadow Home LLC located?

Mimas Meadow Home LLC is located at 10162 SW 143rd Place, Miami, FL 33186. The listed phone number is (305) 456-3778.

What is Mimas Meadow Home LLC'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 Mimas Meadow Home LLC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.