Healthcare Provider Details

I. General information

NPI: 1407017098
Provider Name (Legal Business Name): SILVER MOMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8847 NW 180 TERRACE
MIAMI FL
33018
US

IV. Provider business mailing address

8847 NW 180 TERRACE
MIAMI FL
33018
US

V. Phone/Fax

Practice location:
  • Phone: 305-878-5970
  • Fax: 305-597-0531
Mailing address:
  • Phone: 305-878-5970
  • Fax: 305-597-0531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License NumberAL11053
License Number StateFL

VIII. Authorized Official

Name: MRS. ANGELA PEREZ
Title or Position: OWNER
Credential:
Phone: 786-406-3777