NPIMap

Organization Active NPI

De Blanca Home Service Corp

  • Assisted Living Facility (Mental Illness)
  • Miami, FL
National Provider Identifier
1356547632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL10154 Issued in FL
Legal business name
DE BLANCA HOME SERVICE CORP
Practice address
2520 SW 102ND Ave
Miami, FL 33165-2524
Phone
(305) 343-6424
NPI assigned
Jun 25, 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
Mrs. Blanca Lopetegui
Title
Administrator
Phone
(305) 343-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL10154 FL Primary

Addresses

Primary practice location

2520 SW 102ND Ave
Miami, FL 33165-2524

Mailing address

2520 SW 102ND Ave
Miami, FL 33165-2524
Phone (305) 343-6424

National Provider Directory

National Provider Directory
Tax ID family
De Blanca Home I4 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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356547632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SW 102ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652524",
            "telephone_number": "305-343-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SW 102ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652524",
            "telephone_number": "305-343-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE BLANCA HOME SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPETEGUI",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-343-6424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10154",
            "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.