Organization Active NPI

Lolita Home Care Alf Corp.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1174042402
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8174 Issued in FL
Legal business name
LOLITA HOME CARE ALF CORP.
Practice address
4124 SW 97TH CT
Miami, FL 33165-5147
Phone
(305) 229-8907
Fax
(305) 229-8907
NPI assigned
Sep 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Noelvis Fernandez
Title
Owner/Admin.
Phone
(786) 329-2319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8174 FL Primary

Addresses

Primary practice location

4124 SW 97TH CT
Miami, FL 33165-5147

Mailing address

4124 SW 97TH CT
Miami, FL 33165-5147
Phone (305) 229-8907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174042402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 SW 97TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655147",
            "telephone_number": "305-229-8907",
            "fax_number": "305-229-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 SW 97TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655147",
            "telephone_number": "305-229-8907",
            "fax_number": "305-229-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLITA HOME CARE ALF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NOELVIS",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "786-329-2319"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8174",
            "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 Jul 21, 2022; 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.