NPIMap

Organization Active NPI

Sweet Home Adult Residence Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1497964985
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9214 Issued in FL
Legal business name
SWEET HOME ADULT RESIDENCE INC
Doing business as
Mi Casita ALF
Practice address
13562 SW 38TH LN
Miami, FL 33175-3214
Phone
(305) 552-9789
Fax
(305) 225-1289
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mrs. Sara Zelda Gonzalez
Title
Administrator
Phone
(305) 552-9789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9214 FL Primary

Addresses

Primary practice location

13562 SW 38TH LN
Miami, FL 33175-3214

Mailing address

13562 SW 38TH LN
Miami, FL 33175-3214
Phone (305) 552-9789

Other identifiers 2

IdentifierTypeStateIssuer
140587000MedicaidFL
679428900MedicaidFL

Other names 1

  • Mi Casita ALF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mi Casita Alf2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1497964985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13562 SW 38TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753214",
            "telephone_number": "305-552-9789",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13562 SW 38TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753214",
            "telephone_number": "305-552-9789",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET HOME ADULT RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ZELDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-552-9789",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140587000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "679428900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Casita ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 9, 2008; 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.