Mayra'S Adult Living Facility, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10122 Issued in FL

Legal business name

MAYRA'S ADULT LIVING FACILITY, INC

Practice address

4210 W 19TH Ave
Hialeah, FL 33012-5802

Phone

(305) 370-2405

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Juliana Chala

Title

Owner

Phone

(305) 370-2405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1437334596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W 19TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125802",
            "telephone_number": "305-370-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W 19TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125802",
            "telephone_number": "305-370-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYRA'S ADULT LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "CHALA",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-370-2405",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 8, 2008; 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.