Organization Active NPI

Family Boarding Home Inc

Doing business as Pines ALF

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1336447176
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5438 Issued in FL
Legal business name
FAMILY BOARDING HOME INC
Doing business as
Pines ALF
Practice address
1800 SW 11TH Ter
Miami, FL 33135-5114
Phone
(305) 643-2571
Fax
(305) 644-0091
NPI assigned
Mar 3, 2011
Last updated
Mar 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Mr. Ruben Corteguera
Title
Assisted Living Facility Adm.
Phone
(305) 643-2571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5438 FL Primary

Addresses

Primary practice location

1800 SW 11TH Ter
Miami, FL 33135-5114

Mailing address

1800 SW 11 Terrace
Miami, FL 33135
Phone (305) 643-2571

Other identifiers 1

IdentifierTypeStateIssuer
140878000MedicaidFL

Other names 1

  • Pines ALF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arcadia Manor Alc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1336447176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 11 TERRACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-643-2571",
            "fax_number": "305-644-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 11TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355114",
            "telephone_number": "305-643-2571",
            "fax_number": "305-644-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BOARDING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "CORTEGUERA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "ASSISTED LIVING FACILITY ADM.",
        "authorized_official_telephone_number": "305-643-2571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140878000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2011; 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.