Organization Active NPI

Gables Manor Alf

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1336357672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 7750 Issued in FL
Legal business name
GABLES MANOR ALF
Practice address
6355 SW 2ND St
Miami, FL 33144-3164
Phone
(305) 861-4458
Fax
(305) 225-1289
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Everaldo Chaviano
Title
Administrator
Phone
(305) 861-4458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 7750 FL Primary

Addresses

Primary practice location

6355 SW 2ND St
Miami, FL 33144-3164

Mailing address

6355 SW 2ND St
Miami, FL 33144-3164
Phone (305) 861-4458

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336357672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 SW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443164",
            "telephone_number": "305-861-4458",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 SW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443164",
            "telephone_number": "305-861-4458",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES MANOR ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVIANO",
        "authorized_official_first_name": "EVERALDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-861-4458"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 7750",
            "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 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.