Organization Active NPI

Sweet Angels Home, Inc

  • Assisted Living Facility
  • Miami Gardens, FL
National Provider Identifier
1386954840
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-11612 Issued in FL
Legal business name
SWEET ANGELS HOME, INC
Practice address
15680 NW 40TH CT
Miami Gardens, FL 33054-6762
Phone
(305) 974-4163
NPI assigned
Oct 18, 2010
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Marta Cordova
Title
Owner-Administrator
Phone
(305) 974-4163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-11612 FL Primary

Addresses

Primary practice location

15680 NW 40TH CT
Miami Gardens, FL 33054-6762

Mailing address

15680 NW 40TH CT
Miami Gardens, FL 33054-6762
Phone (305) 974-4163

Other identifiers 1

IdentifierTypeStateIssuer
002377700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1386954840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 NW 40TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546762",
            "telephone_number": "305-974-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15680 NW 40TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546762",
            "telephone_number": "305-974-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET ANGELS HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "305-974-4163"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL-11612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002377700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.