Llanes Residence Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10133 Issued in FL

Legal business name

LLANES RESIDENCE HOME

Practice address

4712 SW 143Rd Ave
Miami, FL 33175-4329

Phone

(305) 485-4905

Fax

(305) 485-4905

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Juvenal Llanes

Title

Owner

Phone

(305) 485-4905

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1245488550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 SW 143RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754329",
            "telephone_number": "305-485-4905",
            "fax_number": "305-485-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 SW 143RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754329",
            "telephone_number": "305-485-4905",
            "fax_number": "305-485-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANES RESIDENCE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "LLANES",
        "authorized_official_first_name": "JUVENAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-485-4905"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141673100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmani Llanes Basulto
• Yadislen Llanes Echazabal
• Maria Cristina Llanes Fernandez, RBT
• Mayelin Llanes Garriga
• Oscar Llanes Gomez
• Diego Javier Llanes Rodriguez
• Roxana Llanes Rodriguez, RBT
• Alain Llanes Rojas, NP
• Sandra Llanes Zayas Bazan
• Sabrina Llanes-Hill

• 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 Aug 29, 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.