Organization Active NPI

La Gloria de Dios II LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1063356855
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LA GLORIA DE DIOS II LLC
Practice address
550 SW 121St Ave
Miami, FL 33184-1653
Phone
(305) 554-6967
Fax
(305) 554-6967
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Lazara Y Montano Hernandez
Title
Owner/Admin
Phone
(786) 547-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

550 SW 121St Ave
Miami, FL 33184-1653

Mailing address

550 SW 121St Ave
Miami, FL 33184-1653
Phone (305) 554-6967

Other identifiers 1

IdentifierTypeStateIssuer
12231OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1063356855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SW 121ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841653",
            "telephone_number": "305-554-6967",
            "fax_number": "305-554-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SW 121ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841653",
            "telephone_number": "305-554-6967",
            "fax_number": "305-554-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GLORIA DE DIOS II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MONTANO HERNANDEZ",
        "authorized_official_first_name": "LAZARA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "786-547-3556"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "12231",
            "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 Apr 14, 2026; 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.