NPIMap

Organization Active NPI

De Blanca Home VI

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1114188430
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL10171 Issued in FL
Legal business name
DE BLANCA HOME VI
Practice address
125 SW 103Rd CT
Miami, FL 33174-1753
Phone
(305) 228-0018
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Blanca Lopetegui, ADMINISTRATOR
Title
Owner
Phone
(305) 228-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL10171 FL Primary

Addresses

Primary practice location

125 SW 103Rd CT
Miami, FL 33174-1753

Mailing address

125 SW 103Rd CT
Miami, FL 33174-1753
Phone (305) 228-0018

National Provider Directory

National Provider Directory
Tax ID family
De Blanca Home I4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1114188430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SW 103RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741753",
            "telephone_number": "305-228-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SW 103RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741753",
            "telephone_number": "305-228-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE BLANCA HOME VI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "LOPETEGUI",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-228-0018",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10171",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 19, 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.