Organization Active NPI

Leisure City Home Care

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1386886901
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11541 Issued in FL
Legal business name
LEISURE CITY HOME CARE
Practice address
14785 Coolidge LN
Homestead, FL 33033-2710
Phone
(786) 277-1226
Fax
(305) 554-9345
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Odalys Govea
Title
President
Phone
(786) 277-1226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11541 FL Primary

Addresses

Primary practice location

14785 Coolidge LN
Homestead, FL 33033-2710

Mailing address

14785 Coolidge LN
Homestead, FL 33033-2710
Phone (786) 277-1226

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1386886901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 COOLIDGE LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332710",
            "telephone_number": "786-277-1226",
            "fax_number": "305-554-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 COOLIDGE LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332710",
            "telephone_number": "786-277-1226",
            "fax_number": "305-554-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE CITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "GOVEA",
        "authorized_official_first_name": "ODALYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-277-1226"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.