Organization Active NPI

Cleria Family Home

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1386852135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 10082 Issued in FL
Legal business name
CLERIA FAMILY HOME
Practice address
4911 SW 132ND Ave
Miami, FL 33175-5245
Phone
(305) 554-5521
Fax
(305) 554-5205
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Raul F Gonzalez
Title
Owner
Phone
(305) 554-5521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 10082 FL Primary

Addresses

Primary practice location

4911 SW 132ND Ave
Miami, FL 33175-5245

Mailing address

4911 SW 132ND Ave
Miami, FL 33175-5245
Phone (305) 554-5521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386852135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755245",
            "telephone_number": "305-554-5521",
            "fax_number": "305-554-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 SW 132ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755245",
            "telephone_number": "305-554-5521",
            "fax_number": "305-554-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERIA FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-554-5521"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10082",
            "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.