Organization Active NPI

Damabian Alf Center

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1407064264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 10121 Issued in FL
Legal business name
DAMABIAN ALF CENTER
Practice address
4065 NW 4TH St
Miami, FL 33126-5673
Phone
(305) 643-3095
Fax
(305) 225-1289
NPI assigned
May 17, 2007
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
Alina Hernandez
Title
Owner
Phone
(305) 643-3095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 10121 FL Primary

Addresses

Primary practice location

4065 NW 4TH St
Miami, FL 33126-5673

Mailing address

4065 NW 4TH St
Miami, FL 33126-5673
Phone (305) 643-3095

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": "1407064264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265673",
            "telephone_number": "305-643-3095",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265673",
            "telephone_number": "305-643-3095",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMABIAN ALF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-643-3095"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10121",
            "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.