NPIMap

Organization Active NPI

My Kind Home Alf

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1124284070
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10486 Issued in FL
Legal business name
MY KIND HOME ALF
Practice address
1846 SW 22ND Ter
Miami, FL 33145-3822
Phone
(786) 348-9405
Fax
(305) 828-1511
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mayren Sardinas
Title
Administrator
Phone
(786) 348-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10486 FL Primary

Addresses

Primary practice location

1846 SW 22ND Ter
Miami, FL 33145-3822

Mailing address

1846 SW 22ND Ter
Miami, FL 33145-3822
Phone (786) 348-9405

Other identifiers 1

IdentifierTypeStateIssuer
143041600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1124284070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453822",
            "telephone_number": "786-348-9405",
            "fax_number": "305-828-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453822",
            "telephone_number": "786-348-9405",
            "fax_number": "305-828-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY KIND HOME ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SARDINAS",
        "authorized_official_first_name": "MAYREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-348-9405"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143041600",
            "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 Jul 30, 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.