Healthcare Provider Details

I. General information

NPI: 1093148801
Provider Name (Legal Business Name): SILVER TIMES ASSISTED LIVING FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2013
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18830 NW 80TH AVE
MIAMI FL
33015
US

IV. Provider business mailing address

18830 NW 80TH AVE
MIAMI FL
33015
US

V. Phone/Fax

Practice location:
  • Phone: 305-705-2577
  • Fax: 305-400-8606
Mailing address:
  • Phone: 305-705-2577
  • Fax: 305-400-8606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL12381
License Number StateFL

VIII. Authorized Official

Name: LEDEIDY PEREZ
Title or Position: OWNER
Credential:
Phone: 786-715-1896