Fairway Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11363 Issued in FL

Legal business name

FAIRWAY ALF INC

Practice address

15523 SW 105TH Ave
Miami, FL 33157-1408

Phone

(786) 285-1474

Fax

(305) 704-8426

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

Pedro Mestre

Title

President

Phone

(786) 942-2799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1174858880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15523 SW 105TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571408",
            "telephone_number": "786-285-1474",
            "fax_number": "305-704-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15523 SW 105TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571408",
            "telephone_number": "786-285-1474",
            "fax_number": "305-704-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "MESTRE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-942-2799"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.