Organization Active NPI

Sunshine Home Alf, Inc.

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1114230448
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10522 Issued in FL
Legal business name
SUNSHINE HOME ALF, INC.
Practice address
4264 West 7 Lane
Hialeah, FL 33012-3827
Phone
(786) 877-2745
Fax
(305) 397-1912
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Mr. Michael Perez
Title
President
Phone
(786) 877-2745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10522 FL Primary

Addresses

Primary practice location

4264 West 7 Lane
Hialeah, FL 33012-3827

Mailing address

4264 West 7 Lane
Hialeah, FL 33012-3827
Phone (786) 877-2745

Other identifiers 1

IdentifierTypeStateIssuer
142283900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1114230448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 WEST 7 LANE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123827",
            "telephone_number": "786-877-2745",
            "fax_number": "305-397-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4264 WEST 7 LANE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123827",
            "telephone_number": "786-877-2745",
            "fax_number": "305-397-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HOME ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-877-2745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142283900",
            "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 Oct 29, 2019; 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.