Ave Fenix Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVE FENIX ALF LLC

Practice address

10120 Caribbean Blvd
Cutler Bay, FL 33189-1526

Phone

(786) 250-4456

Fax

(786) 250-4456

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Nurys Alfonso Naranjo

Title

Owner/Admin.

Phone

(786) 715-1839

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1316728983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 CARIBBEAN BLVD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891526",
            "telephone_number": "786-250-4456",
            "fax_number": "786-250-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 CARIBBEAN BLVD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891526",
            "telephone_number": "786-250-4456",
            "fax_number": "786-250-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE FENIX ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "ALFONSO NARANJO",
        "authorized_official_first_name": "NURYS",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "786-715-1839"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "13833",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cutler Bay, FL
• Providers in Cutler Bay, 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 Oct 10, 2023; 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.