Diaz Home Care Alf II, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11715 Issued in FL

Legal business name

DIAZ HOME CARE ALF II, INC.

Practice address

12211 SW 268 Street
Homestead, FL 33032-7949

Phone

(786) 286-2826

Fax

(786) 601-7751

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Gongar

Title

President

Phone

(786) 282-6305

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1306151071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 SW 268 STREET",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327949",
            "telephone_number": "786-286-2826",
            "fax_number": "786-601-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 SW 268 STREET",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327949",
            "telephone_number": "786-286-2826",
            "fax_number": "786-601-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ HOME CARE ALF II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "GONGAR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-282-6305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11715",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018310400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Diaz Garcia
• Arquel Diaz Gomez, RBT
• Jeandy Diaz Gomez, ARNP
• Elizabeth Diaz Gonzalez, M.D.
• Yara I Diaz Hernandez
• Diaz Home Care Alf, Inc.
• Susej Diaz Lezcano
• Leisdany Diaz Miranda
• Mildrey Diaz Navarro
• Alexander Diaz Pena

• Assisted Living Facility in Homestead, FL
• Providers in Homestead, 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 Jul 31, 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.