Organization Active NPI

Lidi'S Health Care

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1114135340
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 10822 Issued in FL
Legal business name
LIDI'S HEALTH CARE
Practice address
15678 SW 20TH St
Miami, FL 33185-5826
Phone
(305) 223-9611
Fax
(305) 225-1289
NPI assigned
May 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Orlando Llanos
Title
Administrator
Phone
(305) 223-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 10822 FL Primary

Addresses

Primary practice location

15678 SW 20TH St
Miami, FL 33185-5826

Mailing address

15678 SW 20TH St
Miami, FL 33185-5826
Phone (305) 223-9611

Other identifiers 1

IdentifierTypeStateIssuer
142611700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Lidi'S Health Care2 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": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1114135340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15678 SW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855826",
            "telephone_number": "305-223-9611",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15678 SW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855826",
            "telephone_number": "305-223-9611",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDI'S HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "LLANOS",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-223-9611"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142611700",
            "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 Aug 13, 2008; 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.