Saint Jude'S Residence Home #2

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7674 Issued in FL

Legal business name

SAINT JUDE'S RESIDENCE HOME #2

Practice address

2500 SW 108TH Ave
Miami, FL 33165-2465

Phone

(305) 220-3658

Fax

(305) 220-3658

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bernardo Cabrera

Title

Administrator

Phone

(305) 220-3658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255488458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 108TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652465",
            "telephone_number": "305-220-3658",
            "fax_number": "305-220-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 108TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652465",
            "telephone_number": "305-220-3658",
            "fax_number": "305-220-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JUDE'S RESIDENCE HOME #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-220-3658",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 22, 2020; 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.