Provider Demographics
NPI:1588068092
Name:ONDYMERCY CORPORATION
Entity type:Organization
Organization Name:ONDYMERCY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-226-4043
Mailing Address - Street 1:4010 SW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4813
Mailing Address - Country:US
Mailing Address - Phone:305-551-7721
Mailing Address - Fax:305-551-7721
Practice Address - Street 1:4010 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4813
Practice Address - Country:US
Practice Address - Phone:305-551-7721
Practice Address - Fax:305-551-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL93173104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness