Martin Lederly Care Living

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

AL10144 Issued in FL

Legal business name

MARTIN LEDERLY CARE LIVING

Doing business as

Same

Practice address

901 NW 63Rd St
Miami, FL 33150-4220

Phone

(305) 762-4242

Fax

(305) 762-4242

NPI assigned

Oct 31, 2008

Organization subpart

Yes

Parent organization

N/AAs reported in NPPES

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

Authorized official

Name

Ms. Louise Leger Elise, LPN

Title

Alf Administrator

Phone

(305) 762-4242

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SAME Doing business as

Tax ID family

Martin Elderly Careinc2 organizations share this tax ID, including this one

Part of

Martin Elderly Careinc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martin Elderly Care,Inc

  • Assisted Living Facility
  • Miami, FL
  • NPI 1457584245
  NPD tax ID

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1447403654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NW 63RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504220",
            "telephone_number": "305-762-4242",
            "fax_number": "305-762-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW 63RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504220",
            "telephone_number": "305-762-4242",
            "fax_number": "305-762-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LEDERLY CARE LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N/A",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "ELISE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "LEGER",
        "authorized_official_title_or_position": "ALF ADMINISTRATOR",
        "authorized_official_telephone_number": "305-762-4242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "AL10144",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "AL10144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1411714200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hermi Jesus Martin Garcia
• Daviel Martin Guanche
• Andy Martin Hernandez
• Mairelys Martin Izquierdo, RBT-25-408213
• Sheilan L Martin Lamenca
• Martin Life Solution Inc
• Gisny D Martin Lopez, ARNP
• Gretter Martin Lugo
• Katherine Martin Lugo
• Martin Luther King Renal Institute, LLC.

• Mental Illness Community Based Residential Treatment Facility in Miami, FL
• Providers in Miami, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.