Organization Active NPI

Suany's Home, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1053720268
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10173 Issued in FL
Legal business name
SUANY'S HOME, INC.
Practice address
20411 S.W. 116 Road
Miami, FL 33189
Phone
(305) 252-0734
Fax
(305) 252-0734
NPI assigned
Aug 13, 2014
Last updated
Feb 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Juan Carlos Piedra Gomez
Title
Owner
Phone
(786) 241-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10173 FL Primary

Addresses

Primary practice location

20411 S.W. 116 Road
Miami, FL 33189

Mailing address

20411 S.W. 116 Road
Miami, FL 33189
Phone (305) 252-0734

Other identifiers 1

IdentifierTypeStateIssuer
007850100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Suany's Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1053720268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20411 S.W. 116 ROAD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33189",
            "telephone_number": "305-252-0734",
            "fax_number": "305-252-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20411 S.W. 116 ROAD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33189",
            "telephone_number": "305-252-0734",
            "fax_number": "305-252-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUANY'S HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "PIEDRA GOMEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-241-0580"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007850100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.