Organization Active NPI

Paraiso Alf LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1295355121
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PARAISO ALF LLC
Practice address
4500 SW 114TH CT
Miami, FL 33165-5524
Phone
(786) 399-9877
NPI assigned
Apr 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Mr. Duany Hernandez
Title
President
Phone
(786) 399-9877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4500 SW 114TH CT
Miami, FL 33165-5524

Mailing address

4500 SW 114TH CT
Miami, FL 33165-5524
Phone (786) 399-9877

Other identifiers 1

IdentifierTypeStateIssuer
13394MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1295355121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SW 114TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655524",
            "telephone_number": "786-399-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SW 114TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655524",
            "telephone_number": "786-399-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAISO ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DUANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-399-9877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13394",
            "state": "FL"
        }
    ],
    "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 Apr 21, 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.