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Buddy' S Place Mg LLC

Assisted Living Facility in Miami Gardens, FL · enumerated 2011 · authorized official Revilbray Revilla, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073800603

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Registry record

Entity type Organization (Type 2)
Legal business name Buddy' S Place Mg LLC
Practice address 5370 Nw 172nd St, Miami Gardens, FL, 33055
Enumeration date Jul 4, 2011
Last updated in NPPES Jul 4, 2011

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 11374 (FL) Primary

Authorized official

Name Revilbray Revilla
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Buddy' S Place Mg LLC?
NPPES lists Revilbray Revilla (Owner) as the authorized official for this organization.
What is the NPI number for Buddy' S Place Mg LLC?
The NPI for Buddy' S Place Mg LLC is 1073800603, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-04.