Organization Active NPI

Our Loving Mother, Elderly Care Inc

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1447596242
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8128 Issued in FL
Legal business name
OUR LOVING MOTHER, ELDERLY CARE INC
Practice address
1635 W 65 St
Hialeah, FL 33012
Phone
(305) 557-8100
Fax
(305) 402-2845
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Rally Cruz
Title
Owner
Phone
(786) 520-1765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8128 FL Primary

Addresses

Primary practice location

1635 W 65 St
Hialeah, FL 33012

Mailing address

1635 W 65 St
Hialeah, FL 33012
Phone (305) 557-8100

Other identifiers 1

IdentifierTypeStateIssuer
140657400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1447596242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 W 65 ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-557-8100",
            "fax_number": "305-402-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 W 65 ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-557-8100",
            "fax_number": "305-402-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LOVING MOTHER, ELDERLY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-520-1765"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140657400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.