Organization Active NPI

Xiomara Home, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1114197282
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9598 Issued in FL
Legal business name
XIOMARA HOME, INC.
Practice address
4321 S.W. 1St Street
Miami, FL 33134
Phone
(305) 461-3894
Fax
(305) 461-3894
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Aniset Cabreras
Title
Owner
Phone
(786) 587-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9598 FL Primary

Addresses

Primary practice location

4321 S.W. 1St Street
Miami, FL 33134

Mailing address

4321 S.W. 1St Street
Miami, FL 33134
Phone (305) 461-3894

Other identifiers 1

IdentifierTypeStateIssuer
140154800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1114197282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 S.W. 1ST STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-461-3894",
            "fax_number": "305-461-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 S.W. 1ST STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-461-3894",
            "fax_number": "305-461-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIOMARA HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "CABRERAS",
        "authorized_official_first_name": "ANISET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-587-8113"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140154800",
            "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 May 6, 2021; 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.