San Judas Home Care II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11609 Issued in FL

Legal business name

SAN JUDAS HOME CARE II

Practice address

550 NW 116TH Ter
Miami, FL 33168-3432

Phone

(786) 222-5469

Fax

(305) 822-4409

NPI assigned

Aug 10, 2009

Organization subpart

No

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

Authorized official

Name

Grecia Cedeno

Title

Vise Presidente

Phone

(786) 222-5469

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1013149087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NW 116TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683432",
            "telephone_number": "786-222-5469",
            "fax_number": "305-822-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NW 116TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331683432",
            "telephone_number": "786-222-5469",
            "fax_number": "305-822-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUDAS HOME CARE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "CEDENO",
        "authorized_official_first_name": "GRECIA",
        "authorized_official_title_or_position": "VISE PRESIDENTE",
        "authorized_official_telephone_number": "786-222-5469"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando O San Juan, Sr, D.D.S.
• San Judas Alf Group, Inc
• San Judas Assisted Living Facility, Inc.
• San Judas Home Care Corp
• San Judas Home Care Corporation
• San Judas Home Care III
• San Judas Medical Center . Inc
• San Judas Tadeo Community Adult Day Care Corp
• San Judas Tadeo Physical Therapy Center LLC
• San Lazaro Alf Corp.

• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Aug 10, 2009; 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.