Stellar Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STELLAR ALF LLC

Practice address

14502 Rosewood Rd
Miami Lakes, FL 33014-2656

Phone

(305) 822-5248

Fax

(786) 219-4049

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Zailys Obregon Pino

Title

Owner

Phone

(786) 312-4796

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1205375193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 ROSEWOOD RD",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142656",
            "telephone_number": "305-822-5248",
            "fax_number": "786-219-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 ROSEWOOD RD",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142656",
            "telephone_number": "305-822-5248",
            "fax_number": "786-219-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "OBREGON PINO",
        "authorized_official_first_name": "ZAILYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-312-4796"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.