Organization Active NPI

Superior Alf II Inc.

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1023475480
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12777 Issued in FL
Legal business name
SUPERIOR ALF II INC.
Practice address
14750 SW 284TH St
Homestead, FL 33033-1528
Phone
(786) 504-8181
Fax
(866) 811-8194
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Victor M Fagundo
Title
Owner/Admin.
Phone
(786) 504-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12777 FL Primary

Addresses

Primary practice location

14750 SW 284TH St
Homestead, FL 33033-1528

Mailing address

14750 SW 284TH St
Homestead, FL 33033-1528
Phone (786) 504-8181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1023475480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SW 284TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331528",
            "telephone_number": "786-504-8181",
            "fax_number": "866-811-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 284TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331528",
            "telephone_number": "786-504-8181",
            "fax_number": "866-811-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR ALF II INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "FAGUNDO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "786-504-8181"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.