Organization Active NPI

Latam Soag Alf LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1174288989
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LATAM SOAG ALF LLC
Practice address
4715 S.W. 95TH Ave
Miami, FL 33165-5860
Phone
(305) 603-8319
Fax
(305) 603-8319
NPI assigned
Nov 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Guesper R Sanchez Sacerio
Title
Owner
Phone
(786) 651-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4715 S.W. 95TH Ave
Miami, FL 33165-5860

Mailing address

4715 S.W. 95TH Ave
Miami, FL 33165-5860
Phone (305) 603-8319

Other identifiers 1

IdentifierTypeStateIssuer
12843OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1174288989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 S.W. 95TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655860",
            "telephone_number": "305-603-8319",
            "fax_number": "305-603-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 S.W. 95TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655860",
            "telephone_number": "305-603-8319",
            "fax_number": "305-603-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATAM SOAG ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-08-16",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ SACERIO",
        "authorized_official_first_name": "GUESPER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-651-1285"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "12843",
            "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 Aug 16, 2024; 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.