Live Well Alf Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12102 Issued in FL

Legal business name

LIVE WELL ALF CORP.

Practice address

8886 NW 119TH St
Hialeah Gardens, FL 33018-1986

Phone

(786) 360-4455

Fax

(866) 243-4467

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Andres Perez Jr.

Title

President

Phone

(305) 979-8085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1033471966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8886 NW 119TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181986",
            "telephone_number": "786-360-4455",
            "fax_number": "866-243-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8886 NW 119TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181986",
            "telephone_number": "786-360-4455",
            "fax_number": "866-243-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL ALF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-979-8085",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.