San Cayetano Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8859 Issued in FL

Legal business name

SAN CAYETANO HOME INC

Practice address

3525 SW 104TH CT
Miami, FL 33165-3717

Phone

(305) 221-7733

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Glidys Pena

Title

President

Phone

(305) 221-7733

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1396940896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 SW 104TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653717",
            "telephone_number": "305-221-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 SW 104TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653717",
            "telephone_number": "305-221-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CAYETANO HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "GLIDYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-221-7733",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140753800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Aug 29, 2008; 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.