Hetery Home for the Elderly

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7612 Issued in FL

Legal business name

HETERY HOME FOR THE ELDERLY

Practice address

825 SE 7TH Avenue
Hialeah, FL 33010-5602

Phone

(786) 558-8569

Fax

(305) 225-1289

NPI assigned

May 19, 2007

Last updated

Jan 20, 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

Roberto Berreras

Title

President

Phone

(786) 413-7016

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1477761666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE 7TH AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105602",
            "telephone_number": "786-413-7016",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE 7TH AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105602",
            "telephone_number": "786-558-8569",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HETERY HOME FOR THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "BERRERAS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-413-7016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674225400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140404100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Luisa Herreros Hernandez
• Lorena D Herro Rivero
• Jason Hersh
• Andrew Brian Herson, DO
• Roksana Hesari, DO, MMS
• Brandon Augustine Hevia, MD
• Yordanka Hevia
• Hhas and Cnas of Florida
• Hialeah 49 Urgent Care LLC
• Hialeah Academy of Music LLC

• 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 20, 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.