Organization Active NPI

Andalusia a. L. F. Inc.

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1083821466
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10771 Issued in FL
Legal business name
ANDALUSIA A. L. F. INC.
Practice address
360 East 65 Street
Hialeah, FL 33013
Phone
(305) 456-4111
Fax
(305) 456-4111
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Eddy Sarduy Santos
Title
Owner
Phone
(786) 333-2573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10771 FL Primary

Addresses

Primary practice location

360 East 65 Street
Hialeah, FL 33013

Mailing address

360 East 65 Street
Hialeah, FL 33013
Phone (305) 456-4111

Other identifiers 1

IdentifierTypeStateIssuer
142631100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1083821466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 EAST 65 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-456-4111",
            "fax_number": "305-456-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 EAST 65 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-456-4111",
            "fax_number": "305-456-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUSIA A. L. F. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-11-04",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "SARDUY SANTOS",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-333-2573"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142631100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.