Aldersgate Retirement Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5839 Issued in FL

Legal business name

ALDERSGATE RETIREMENT INC.

Doing business as

Epworth Village Retirement Community

Practice address

5300 W 16TH Ave
Hialeah, FL 33012-2104

Phone

(305) 556-3500

Fax

(305) 821-1407

NPI assigned

Jan 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. William Conol

Title

Accounting Director

Phone

(305) 556-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Epworth Village Retirement Community Doing business as

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1225450604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122104",
            "telephone_number": "305-556-3500",
            "fax_number": "305-821-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122104",
            "telephone_number": "305-556-3500",
            "fax_number": "305-821-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERSGATE RETIREMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "CONOL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ACCOUNTING DIRECTOR",
        "authorized_official_telephone_number": "305-556-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epworth Village Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joao Paulo Alcolea
• Yeleinnis Alcorta
• Elizabeth Aldama
• Evelin Aldana
• Aldersgate Healthcare Inc (Susanna Wesley Health Center)
• Manuel Jesus Alea
• Alegra Health, LLC
• Alegria Adult Day Care Center Inc
• Alegria Adult Daycare Inc
• Alejandro Casuso & Gladys Alonso MD PA

• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, 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 Jan 20, 2014; 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.