Flamingo Park Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7308 Issued in FL

Legal business name

FLAMINGO PARK MANOR LLC

Doing business as

Flamingo Park Manor

Practice address

3051 E 4TH Ave
Hialeah, FL 33013-3260

Phone

(786) 419-6949

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Claudia Pace

Title

Director of Operations

Phone

(786) 419-6949

Specialties & licenses 2

Addresses

Other names 1

• Flamingo Park Manor Doing business as

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1417185000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 28TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101606",
            "telephone_number": "786-419-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133260",
            "telephone_number": "786-419-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO PARK MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "786-419-6949"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7308",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL7308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flamingo Park Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon A Fitzgerald, M.A., ATR
• Jeremy Fitzig
• FL Association of Autonomous NPS Medical Office Owners Inc
• Flamingo Dialysis Center IV LLC
• Flamingo Park Kidney Center Inc
• Josue Angelo Flanquin, MD
• Thalia Fleitas Valdes, RBT
• Idania Fleitas
• Yamila Fleitas
• Sabrina Francheska Fleites Herrera

• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, 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 Jun 23, 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.