Organization Active NPI

Edelmira Alf II, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1124337357
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11890 Issued in FL
Legal business name
EDELMIRA ALF II, INC.
Practice address
12030 SW 171St Ter
Miami, FL 33177-2167
Phone
(305) 562-6163
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Edelmira Jimenez
Title
Owner
Phone
(305) 562-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11890 FL Primary

Addresses

Primary practice location

12030 SW 171St Ter
Miami, FL 33177-2167

Mailing address

12030 SW 171St Ter
Miami, FL 33177-2167
Phone (305) 562-6163

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1124337357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 SW 171ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772167",
            "telephone_number": "305-562-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 SW 171ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772167",
            "telephone_number": "305-562-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELMIRA ALF II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "EDELMIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-562-6163"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11890",
            "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 Oct 5, 2010; 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.