Organization Active NPI

Helen Homes of South Dade

Doing business as Homestead Manor

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1194148023
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8995 Issued in FL
Legal business name
HELEN HOMES OF SOUTH DADE
Doing business as
Homestead Manor
Practice address
10850 SW 113TH PL
Miami, FL 33176-3227
Phone
(305) 270-7043
NPI assigned
Jan 29, 2014
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Jacob Shaham
Title
Ceo
Phone
(305) 270-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8995 FL Primary

Addresses

Primary practice location

10850 SW 113TH PL
Miami, FL 33176-3227

Mailing address

1330 NW 1St Ave
Homestead, FL 33030-4212
Phone (305) 248-0271

Other names 1

  • Homestead Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Helen Homes of South Dade2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1194148023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NW 1ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304212",
            "telephone_number": "305-248-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763227",
            "telephone_number": "305-270-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELEN HOMES OF SOUTH DADE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "SHAHAM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-270-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2014; 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.