JC & C Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JC & C ALF LLC

Practice address

158 W 10TH St
Hialeah, FL 33010-4007

Phone

(786) 600-8679

Fax

(786) 600-8679

NPI assigned

Oct 22, 2021

Organization subpart

No

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

Authorized official

Name

Eylin R. Lucas

Title

Oiwner

Phone

(786) 281-1583

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1003570334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W 10TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104007",
            "telephone_number": "786-600-8679",
            "fax_number": "786-600-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W 10TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104007",
            "telephone_number": "786-600-8679",
            "fax_number": "786-600-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC & C ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "EYLIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OIWNER",
        "authorized_official_telephone_number": "786-281-1583"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003908000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.