Organization Active NPI

JC Loving Home, Inc

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1467699645
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10560 Issued in FL
Legal business name
JC LOVING HOME, INC
Practice address
781 E 45TH St
Hialeah, FL 33013-1923
Phone
(786) 237-4612
Fax
(305) 223-2371
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Braulio Garcia
Title
Owner
Phone
(786) 237-4612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10560 FL Primary

Addresses

Primary practice location

781 E 45TH St
Hialeah, FL 33013-1923

Mailing address

781 E 45TH St
Hialeah, FL 33013-1923
Phone (786) 237-4612

Other identifiers 1

IdentifierTypeStateIssuer
000001400MedicaidFL

National Provider Directory

National Provider Directory

Locations

781 E 45th St
Hialeah, FL 33013
Phone (786) 237-4612

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1467699645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 E 45TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131923",
            "telephone_number": "786-237-4612",
            "fax_number": "305-223-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 E 45TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131923",
            "telephone_number": "786-237-4612",
            "fax_number": "305-223-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC LOVING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BRAULIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-237-4612"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001400",
            "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 9, 2009; 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.