Saint Johns Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAINT JOHNS ALF LLC

Practice address

7580 SW 30TH Ter
Miami, FL 33155-2750

Phone

(786) 360-2940

Fax

(786) 615-5676

NPI assigned

Feb 21, 2021

Last updated

Feb 21, 2021By 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

Milaine M Dominguez

Title

Owner

Phone

(786) 218-5178

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1497349450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 SW 30TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552750",
            "telephone_number": "786-360-2940",
            "fax_number": "786-615-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 SW 30TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552750",
            "telephone_number": "786-360-2940",
            "fax_number": "786-615-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOHNS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "MILAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-218-5178"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL13562",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaime Saint Felix Cubilla
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• Saint Jude Adultd Care
• Saint Jude Health Care Corp
• Saint Jude's Residence Home #2
• Fedline Saint Louis

• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Feb 21, 2021; 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.