Diaz Home Care Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11119 Issued in FL

Legal business name

DIAZ HOME CARE ALF, INC.

Practice address

13481 SW 268 Terrace
Homestead, FL 33032-7649

Phone

(786) 286-2826

Fax

(786) 601-7751

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Gongar

Title

President

Phone

(786) 286-2826

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1073794475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13481 SW 268 TERRACE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327649",
            "telephone_number": "786-286-2826",
            "fax_number": "786-601-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 SW 268 TERRACE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327649",
            "telephone_number": "786-286-2826",
            "fax_number": "786-601-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ HOME CARE ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "GONGAR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-286-2826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018532600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arquel Diaz Gomez, RBT
• Jeandy Diaz Gomez, ARNP
• Elizabeth Diaz Gonzalez, M.D.
• Yara I Diaz Hernandez
• Diaz Home Care Alf II, Inc.
• Susej Diaz Lezcano
• Leisdany Diaz Miranda
• Mildrey Diaz Navarro
• Alexander Diaz Pena
• Lazara Diaz Rocubert

• Assisted Living Facility in Homestead, FL
• Providers in Homestead, 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 31, 2020; 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.