Active NPI
Villa Candita Alf, Inc.
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1013119536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10370
- Legal business name
- VILLA CANDITA ALF, INC.
- Practice address
- 1321-1323 NW 29 Avenue
Miami, FL 33125-2027 - Phone
- (305) 636-2057
- Fax
- (305) 634-2076
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maximo Carlos Hernandez
- Title
- President
- Phone
- (305) 781-0633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL10370 | FL | Primary |
Addresses
Primary practice location
1321-1323 NW 29 Avenue
Miami, FL 33125-2027
Mailing address
1321-1323 NW 29 Avenue
Miami, FL 33125-2027
Phone (305) 636-2057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142013500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1013119536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321-1323 NW 29 AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252027",
"telephone_number": "305-636-2057",
"fax_number": "305-634-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321-1323 NW 29 AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252027",
"telephone_number": "305-636-2057",
"fax_number": "305-634-2076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA CANDITA ALF, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "MAXIMO",
"authorized_official_middle_name": "CARLOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-781-0633"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL10370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142013500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.