Organization Active NPI

Amanecer Home Corp

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1275779282
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
A11075 Issued in FL
Legal business name
AMANECER HOME CORP
Practice address
9010 SW 17TH Ter
Miami, FL 33165-7822
Phone
(305) 785-0789
Fax
(305) 785-0789
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Norman Baltodano
Title
President
Phone
(305) 785-0789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X A11075 FL Primary

Addresses

Primary practice location

9010 SW 17TH Ter
Miami, FL 33165-7822

Mailing address

9010 SW 17TH Ter
Miami, FL 33165-7822
Phone (305) 785-0789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1275779282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 SW 17TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657822",
            "telephone_number": "305-785-0789",
            "fax_number": "305-785-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 SW 17TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657822",
            "telephone_number": "305-785-0789",
            "fax_number": "305-785-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANECER HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "BALTODANO",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-785-0789"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "A11075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.