Organization Active NPI

Lakeview Alf, Corp.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1417251802
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11659 Issued in FL
Legal business name
LAKEVIEW ALF, CORP.
Practice address
14220 Kendale Lakes Blvd
Miami, FL 33183-3923
Phone
(305) 387-4063
Fax
(305) 387-4063
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Mr. Jose Luis Martin
Title
Owner/Administrator
Phone
(305) 387-4063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11659 FL Primary

Addresses

Primary practice location

14220 Kendale Lakes Blvd
Miami, FL 33183-3923

Mailing address

14220 Kendale Lakes Blvd
Miami, FL 33183-3923
Phone (305) 387-4063

Other identifiers 1

IdentifierTypeStateIssuer
001601900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1417251802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 KENDALE LAKES BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833923",
            "telephone_number": "305-387-4063",
            "fax_number": "305-387-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 KENDALE LAKES BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833923",
            "telephone_number": "305-387-4063",
            "fax_number": "305-387-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW ALF, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-387-4063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001601900",
            "state": "FL"
        }
    ],
    "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 Dec 29, 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.