Organization Active NPI

Fairlawns Alf LLC

  • Assisted Living Facility
  • Miami Gardens, FL
National Provider Identifier
1346953817
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FAIRLAWNS ALF LLC
Practice address
911 NW 198TH St
Miami Gardens, FL 33169-3012
Phone
(305) 653-8465
Fax
(305) 653-8465
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Dynetta Robinson
Title
Owner/Admin
Phone
(305) 335-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

911 NW 198TH St
Miami Gardens, FL 33169-3012

Mailing address

911 NW 198TH St
Miami Gardens, FL 33169-3012
Phone (305) 653-8465

Other identifiers 1

IdentifierTypeStateIssuer
13762OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1346953817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 NW 198TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693012",
            "telephone_number": "305-653-8465",
            "fax_number": "305-653-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NW 198TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693012",
            "telephone_number": "305-653-8465",
            "fax_number": "305-653-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWNS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DYNETTA",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "305-335-5105"
    },
    "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": "13762",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.