Provider Demographics
NPI:1093932105
Name:THE MEADOWS OF KENDALL
Entity Type:Organization
Organization Name:THE MEADOWS OF KENDALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIRINA
Authorized Official - Middle Name:MARGARITA
Authorized Official - Last Name:RESTREPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-281-1109
Mailing Address - Street 1:10360 SW 166TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1086
Mailing Address - Country:US
Mailing Address - Phone:305-387-4284
Mailing Address - Fax:305-387-4284
Practice Address - Street 1:8820 SW 79TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7426
Practice Address - Country:US
Practice Address - Phone:305-412-8522
Practice Address - Fax:305-412-8522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9632310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility