Organization Active NPI

Miracle Alf, Inc.

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1215368535
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11704 Issued in FL
Legal business name
MIRACLE ALF, INC.
Practice address
8716 Fountain Ave
Tampa, FL 33615-2802
Phone
(813) 966-5335
Fax
(813) 442-4704
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Milagro Leal
Title
Administrator
Phone
(813) 966-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11704 FL Primary

Addresses

Primary practice location

8716 Fountain Ave
Tampa, FL 33615-2802

Mailing address

8716 Fountain Ave
Tampa, FL 33615-2802
Phone (813) 966-5335

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1215368535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 FOUNTAIN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152802",
            "telephone_number": "813-966-5335",
            "fax_number": "813-442-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 FOUNTAIN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152802",
            "telephone_number": "813-966-5335",
            "fax_number": "813-442-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "MILAGRO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-966-5335"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.