Sweet Mansion Alf Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10734 Issued in FL

Legal business name

SWEET MANSION ALF INC.

Practice address

16925 SW 300TH St
Hialeah, FL 33030-3438

Phone

(305) 242-0577

Fax

(786) 429-1250

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Rodolfo Marquez

Title

Owner

Phone

(305) 546-6183

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1386800563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16925 SW 300TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330303438",
            "telephone_number": "305-242-0577",
            "fax_number": "786-429-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16925 SW 300TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330303438",
            "telephone_number": "305-242-0577",
            "fax_number": "786-429-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET MANSION ALF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-546-6183"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142695800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.