Provider Profile
VILLA PAZ ALF I INC
Assisted Living Facility
FACILITY PROFILE
Street Address
- 1200 SW 22ND TER
MIAMI, FL 33145
County: Miami-Dade - Phone: (305) 206-5341
Mailing Address
- 1200 SW 22ND TER
MIAMI, FL 33145
County: Miami-Dade - Phone: (305) 858-5664
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | ||||||
| Administrator: | MARTA VARON | ||||||
| Financial Officer: | ELKA ARCHBOLD | ||||||
| Owner/Licensee: | VILLA PAZ ALF I INC | ||||||
| Owner/Licensee Since: | 12/22/2021 | ||||||
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| Profit Status: | For-Profit | ||||||
| Management Company: | Not Available | ||||||
| Manager Since: | Not Available | ||||||
| Licensed Beds: | 14 | ||||||
| Bed Types: | Total Capacity: 14 Extended Congregate Care: 0 Private: 2 Optional State Supplement: 12 | ||||||
| AHCA Number (File Number): | 11969964 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 13718 | ||||||
| Current License Effective: | 6/6/2024 | ||||||
| Current License Expires: | 6/5/2026 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Specialty License: | Limited Mental Health |
| Activities: | Arts and CraftsDancingExercise ClassesGames/CardsGardeningMusic ProgramsShoppingSocial Events/OutingsTheater and Movies |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | No |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | EnglishSpanish |
| Nurse Availability: | 3rd Party Part-Time |
| Payment Forms Accepted: | MedicaidOtherVAWorkers Compensation |
| Religious Affiliations: | Methodist |
| Community Residential Home | Yes |
Please be advised that local zoning authorities may have additional restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration. Contact your local zoning authorities for any specific requirements. See also 419.001 F.S.
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Portable Generator |
| Emergency Power Supports: | LightsOtherRefrigeration |
| Plan Approval: | 3/22/2022 |
| Implementation Date: | 10/10/2021 |
| Cooling Method: | Spot Coolers |
| Areas Cooled: | Common AreasDining Room |
| Areas Cooled Location: | Within Facility |
| Square Footage Cooled: | 240 |
| Number of People to use Cooled Space: | 10 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.