Organization Active NPI

Kendall Alf 1 LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1407253693
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12588 Issued in FL
Legal business name
KENDALL ALF 1 LLC
Practice address
9700 SW 106TH CT
Miami, FL 33176-2758
Phone
(786) 485-3105
Fax
(305) 938-5050
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Gonzalo N. Perez
Title
Owner
Phone
(305) 968-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12588 FL Primary

Addresses

Primary practice location

9700 SW 106TH CT
Miami, FL 33176-2758

Mailing address

9700 SW 106TH CT
Miami, FL 33176-2758
Phone (786) 485-3105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1407253693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 SW 106TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762758",
            "telephone_number": "786-485-3105",
            "fax_number": "305-938-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 SW 106TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762758",
            "telephone_number": "786-485-3105",
            "fax_number": "305-938-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL ALF 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-968-2046"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12588",
            "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 May 10, 2019; 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.