La Estancia Home Care Alf ,Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13024 Issued in AR

Legal business name

LA ESTANCIA HOME CARE ALF ,INC

Practice address

15321 NW 33Rd CT
Miami Gardens, FL 33054

Phone

(786) 483-7993

NPI assigned

Jun 27, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose Fernandez

Title

VP

Phone

(305) 747-8663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427578749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15321 NW 33RD CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330542403",
            "telephone_number": "786-483-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 NW 33RD CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33054",
            "telephone_number": "786-483-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA ESTANCIA HOME CARE ALF ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-747-8663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "AL13024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami Gardens, FL
• Providers in Miami Gardens, 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 Jul 21, 2022; 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.