Organization Active NPI

Hidden Ranches Assisted Living, Inc

  • Assisted Living Facility
  • Miami Gardens, FL
National Provider Identifier
1164858262
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8744 Issued in FL
Legal business name
HIDDEN RANCHES ASSISTED LIVING, INC
Practice address
1864 NW 175TH St
Miami Gardens, FL 33056-4840
Phone
(305) 624-4901
NPI assigned
Sep 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Ricki Kaneti
Title
Administrator
Phone
(305) 624-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8744 FL Primary

Addresses

Primary practice location

1864 NW 175TH St
Miami Gardens, FL 33056-4840

Mailing address

1864 NW 175TH St
Miami Gardens, FL 33056-4840
Phone (305) 624-4901

Other names 1

  • HIDDEN RANCHES ASSITED LIVING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1164858262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 NW 175TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564840",
            "telephone_number": "305-624-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 NW 175TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564840",
            "telephone_number": "305-624-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN RANCHES ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-624-4901"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIDDEN RANCHES ASSITED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.