Buddy' S Place Mg LLC
NPI 1073800603 · Assisted Living Facility · Miami Gardens, FL
Buddy' S Place Mg LLC is a Assisted Living Facility organization in Miami Gardens, FL (NPI 1073800603).
Provider details
- NPI number
- 1073800603
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Revilbray Revilla, Owner(305) 318-6593
- License
- 11374 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-04
- Last updated
- 2011-07-04
Frequently asked questions
- What is Buddy' S Place Mg LLC's NPI number?
- Buddy' S Place Mg LLC's National Provider Identifier (NPI) is 1073800603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Buddy' S Place Mg LLC?
- Buddy' S Place Mg LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Buddy' S Place Mg LLC located?
- Buddy' S Place Mg LLC's practice location on file with NPPES is 5370 Nw 172nd St, Miami Gardens, FL 33055-4062.
- What is Buddy' S Place Mg LLC's phone number?
- The practice phone number listed in the NPPES registry for Buddy' S Place Mg LLC is (305) 318-6593.
- Who is the authorized official for Buddy' S Place Mg LLC?
- The authorized official listed on Buddy' S Place Mg LLC's NPPES record is Revilbray Revilla, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Buddy' S Place Mg LLC's NPI active?
- Yes — Buddy' S Place Mg LLC's NPI (1073800603) is active in the NPPES registry as of the last update on 2011-07-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.