Active NPI
Helen Homes of South Dade
Doing business as Homestead Manor
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1194148023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL8995
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Helen Homes of South Dade
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Homestead Manor, a Palace Community
- Skilled Nursing Facility
- Homestead, FL
- NPI 1356612774
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
- Helen B Bentley Family Health Center
- Helen B Bentley Family Health Ctr
- Helen B. Bentley Family Health Center (Helen B. Bentley Pharmacy)
- Helen B. Bentley Family Health Center, Inc.
- Helen E. Schuster LCSW, Inc.
- Helen M. Sawyer Plaza
- Helen Sawyer Plaza Alf
- Melanie S Helfman, MD
- Caron Simone Helfner, DCSW,LCSW
- Rachely Helguera Guerra
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.