Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Club Living , Inc

Organization Assisted Living Facility · NPI 1063535854

Country Club Living , Inc is an Assisted Living Facility in Miami Lakes, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16837 N W 91 Ct
Miami Lakes, FL 33018
Phone: (305) 549-8657
Fax: (305) 816-9996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL10449 (FL)

Record details

NPI number1063535854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yeney Suarez — Owner · (786) 715-8902
Other names Miami Lakes Retirement Home; Miami Lakes Retirement Home
NPI enumeratedApril 9, 2007
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing address16837 N. W. 91 Ct., Miami Lakes, FL 33018

Other providers in Miami Lakes