Life Time Alf Co

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-11350 Issued in FL

Legal business name

LIFE TIME ALF CO

Practice address

822 SW 89TH Ave
Miami, FL 33174-3221

Phone

(305) 562-9069

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Henry Diaz

Title

President-Owner

Phone

(305) 562-9069

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1225292022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 SW 89TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743221",
            "telephone_number": "305-562-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 SW 89TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743221",
            "telephone_number": "305-562-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TIME ALF CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "305-562-9069"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL-11350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Physical Therapy, LLC
• Life Residential LLC
• Life Skills Management Services LLC
• Life Spring Research Foundation
• Life Support Community Service Inc
• Life's Secret Corp
• Lifecare Med Center LLC
• Lifecare Medical Center Group LLC
• Lifeline Home Healthcare Providers, Inc.
• Lifeplus Healthcare Group, Inc.

• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Jul 11, 2008; 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.