Willow Haven Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10457 Issued in FL

Legal business name

WILLOW HAVEN ALF, INC.

Practice address

1220 NE 207TH St
North Miami Beach, FL 33179-2019

Phone

(305) 653-3894

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Blanca Perez

Title

Director

Phone

(305) 653-3894

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311465600000",
    "number": "1053520809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NE 207TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792019",
            "telephone_number": "305-653-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NE 207TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792019",
            "telephone_number": "305-653-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HAVEN ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-07-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-653-3894"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142152200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Williams Sr.
• Harold S Williams, MD
• Lanelle Shellemiah Williams, OD
• Shane Williams, D.O
• Taylor Williams
• Hadassa Winkler, CCC-SLP
• Wisdom Tooth Clinical Services PA
• Laura Judith Wizelman, LMHC
• Wohlfeiler Piperato and Associates, LLC
• Bernd Arthur Wollschlaeger, MD

• Assisted Living Facility in North Miami Beach, FL
• Providers in North Miami Beach, 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 Jul 24, 2011; 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.