Organization Active NPI

Edelmira Alf

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1376751685
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 9683 Issued in FL
Legal business name
EDELMIRA ALF
Practice address
19720 SW 116TH Ave
Miami, FL 33157-1043
Phone
(305) 253-0649
Fax
(305) 253-0649
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Mrs. Edelmira Jimenez
Title
President
Phone
(305) 562-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 9683 FL Primary

Addresses

Primary practice location

19720 SW 116TH Ave
Miami, FL 33157-1043

Mailing address

19720 SW 116TH Ave
Miami, FL 33157-1043
Phone (305) 253-0649

Other identifiers 1

IdentifierTypeStateIssuer
677988300MedicaidFL

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": "1525046400000",
    "number": "1376751685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 SW 116TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571043",
            "telephone_number": "305-253-0649",
            "fax_number": "305-225-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 SW 116TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571043",
            "telephone_number": "305-253-0649",
            "fax_number": "305-253-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELMIRA ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "EDELMIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-562-6163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 9683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677988300",
            "state": "FL"
        }
    ],
    "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 Apr 30, 2018; 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.