Organization Active NPI

Home Sweet Home Care Facility Corp.

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1194902361
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
9862 Issued in FL
Legal business name
HOME SWEET HOME CARE FACILITY CORP.
Practice address
5341 East 5 Avenue
Hialeah, FL 33013-1546
Phone
(786) 359-4429
Fax
(305) 675-3117
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Mr. Adrian Roche
Title
President
Phone
(786) 571-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9862 FL Primary

Addresses

Primary practice location

5341 East 5 Avenue
Hialeah, FL 33013-1546

Mailing address

5341 East 5 Avenue
Hialeah, FL 33013-1546
Phone (786) 359-4429

Other identifiers 3

IdentifierTypeStateIssuer
680281800MedicaidFL
024457700MedicaidFL
140437700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1194902361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 EAST 5 AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131546",
            "telephone_number": "786-359-4429",
            "fax_number": "305-675-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 EAST 5 AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131546",
            "telephone_number": "786-359-4429",
            "fax_number": "305-675-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME CARE FACILITY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2024-07-26",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-571-2135",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680281800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024457700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140437700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.