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

Old Dominium, Inc

Organization Assisted Living Facility (Mental Illness) · NPI 1497934954

Old Dominium, Inc is an Assisted Living Facility (Mental Illness) in Miami, 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

9820 SW 72nd St
Miami, FL 33173-4618
Phone: (305) 219-9445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X · Licence AL11130 (FL)

Record details

NPI number1497934954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Sosa — Administrator · (305) 219-9445
NPI enumeratedOctober 31, 2007
Last updated in NPPESOctober 31, 2007
Mailing address9820 Sw 72nd St, Miami, FL 33173-4618

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