MGR Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11295 Issued in FL

Legal business name

MGR HOME INC

Practice address

5305 SW 137TH CT
Miami, FL 33175-6024

Phone

(786) 431-5504

Fax

(786) 431-5504

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Lyha Morales

Title

Owner

Phone

(786) 209-5597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1508029406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 SW 137TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756024",
            "telephone_number": "786-431-5504",
            "fax_number": "786-431-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 SW 137TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756024",
            "telephone_number": "786-431-5504",
            "fax_number": "786-431-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGR HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "LYHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-209-5597"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MGM Outpatient Inc
• MGM Pharmacy & Discount Corp
• MGM Therapy Services LLC
• MGR Garcia Services LLC
• MGR Home #2 Inc
• MH Imperial Service Inc.
• MHB Consultants
• MHB Consultants
• MHB Consultants
• MHC Thrive LLC

• 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 Aug 1, 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.