Organization Active NPI

Healthy Life Gourmet LLC

  • Home Delivered Meals
  • Homestead, FL
National Provider Identifier
1184311813
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
HEALTHY LIFE GOURMET LLC
Practice address
126 SE 37TH PL # 126
Homestead, FL 33033-6216
Phone
(786) 829-9209
Fax
(305) 230-7546
NPI assigned
Apr 21, 2023
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Ms. Lianet Barrios
Title
Administrator
Phone
(786) 829-9209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

126 SE 37TH PL # 126
Homestead, FL 33033-6216

Mailing address

22708 SW 94TH Path
Cutler Bay, FL 33190-1266
Phone (178) 682-9920

Other names 1

  • HEALTHY LIFE GOURMET LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1184311813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22708 SW 94TH PATH",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901266",
            "telephone_number": "178-682-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SE 37TH PL # 126",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330336216",
            "telephone_number": "786-829-9209",
            "fax_number": "305-230-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE GOURMET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "LIANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-829-9209",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHY LIFE GOURMET LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.