Organization Active NPI

Tamiami Haven Alf LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1497645881
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TAMIAMI HAVEN ALF LLC
Practice address
2472 SW 113TH CT
Miami, FL 33165-2249
Phone
(305) 554-8627
Fax
(305) 554-8627
NPI assigned
Jul 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Demys Gonzalez
Title
Owner
Phone
(305) 554-8627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2472 SW 113TH CT
Miami, FL 33165-2249

Mailing address

2472 SW 113TH CT
Miami, FL 33165-2249
Phone (305) 554-8627

Other identifiers 1

IdentifierTypeStateIssuer
10749OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1497645881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 SW 113TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652249",
            "telephone_number": "305-554-8627",
            "fax_number": "305-554-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 SW 113TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652249",
            "telephone_number": "305-554-8627",
            "fax_number": "305-554-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMIAMI HAVEN ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DEMYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-554-8627"
    },
    "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": "10749",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.