Organization Active NPI

Legacy Alf LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1194309955
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEGACY ALF LLC
Practice address
13232 NW 9 Lane
Miami, FL 33182
Phone
(786) 542-6081
Fax
(786) 542-6081
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Marcos N Molina
Title
Owner
Phone
(786) 486-9365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

13232 NW 9 Lane
Miami, FL 33182

Mailing address

13232 NW 9 Lane
Miami, FL 33182
Phone (786) 542-6081

Other identifiers 1

IdentifierTypeStateIssuer
8807OtherFLAHCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1194309955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13232 NW 9 LANE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33182",
            "telephone_number": "786-542-6081",
            "fax_number": "786-542-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13232 NW 9 LANE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33182",
            "telephone_number": "786-542-6081",
            "fax_number": "786-542-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2023-12-13",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-486-9365"
    },
    "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": "8807",
            "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 Dec 13, 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.