Cary Crist Home Care Alf, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 9796 Issued in FL

Legal business name

CARY CRIST HOME CARE ALF, INC

Practice address

1706 SW 136 Place
Miami, FL 33175

Phone

(786) 963-0042

Fax

(786) 963-0049

NPI assigned

May 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heidis D Alonso

Title

Owner

Phone

(786) 570-9882

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1003024845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 SW 136 PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "786-963-0042",
            "fax_number": "786-963-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 SW 136 PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "786-963-0042",
            "fax_number": "786-963-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY CRIST HOME CARE ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "HEIDIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-570-9882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 9796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689055500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142281200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Miami, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.