Abuelitos Felices II Alf, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL1106 Issued in FL

Legal business name

ABUELITOS FELICES II ALF, INC

Practice address

12744 SW 204TH St
Miami, FL 33177-5113

Phone

(786) 250-5646

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Lizandra Alcantara

Title

Owner

Phone

(786) 250-5646

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1023428158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12744 SW 204TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775113",
            "telephone_number": "786-250-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12744 SW 204TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775113",
            "telephone_number": "786-250-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUELITOS FELICES II ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "LIZANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-250-5646"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010362700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 28, 2014; 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.