Our Lady of Charity Aclf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

8352 Issued in FL

Legal business name

OUR LADY OF CHARITY ACLF, INC.

Practice address

2927 SW 21St Ter
Miami, FL 33145-2319

Phone

(305) 567-9321

Fax

(305) 634-2076

NPI assigned

May 11, 2007

Last updated

Apr 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Candida Diaz

Title

President

Phone

(786) 586-6087

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1114132305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 SW 21ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452319",
            "telephone_number": "305-567-9321",
            "fax_number": "305-634-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 SW 21ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452319",
            "telephone_number": "305-567-9321",
            "fax_number": "305-634-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF CHARITY ACLF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CANDIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-586-6087",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8352",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140654000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Apr 11, 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.