Organization Active NPI

Bethel Alf LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1124620794
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BETHEL ALF LLC
Practice address
15302 SW 142ND Ter
Miami, FL 33196-2877
Phone
(305) 964-5103
Fax
(305) 964-5103
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Yusmey Fabregat Miranda
Title
Owner/Admin
Phone
(786) 241-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

15302 SW 142ND Ter
Miami, FL 33196-2877

Mailing address

15302 SW 142ND Ter
Miami, FL 33196-2877
Phone (305) 964-5103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1124620794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15302 SW 142ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962877",
            "telephone_number": "305-964-5103",
            "fax_number": "305-964-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15302 SW 142ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962877",
            "telephone_number": "305-964-5103",
            "fax_number": "305-964-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "FABREGAT MIRANDA",
        "authorized_official_first_name": "YUSMEY",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "786-241-4086"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Nov 9, 2020; 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.