Organization Active NPI

Mae Alf

  • Assisted Living Facility
  • Miami Gardens, FL
National Provider Identifier
1508517962
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MAE ALF
Practice address
3921 NW 179 St
Miami Gardens, FL 33055-3408
Phone
(786) 214-9883
Fax
(305) 648-6077
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Madelaine Rondon
Title
Owner
Phone
(786) 241-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3921 NW 179 St
Miami Gardens, FL 33055-3408

Mailing address

3921 NW 179 St
Miami Gardens, FL 33055-3408
Phone (786) 214-9883

Other identifiers 1

IdentifierTypeStateIssuer
0000000000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1508517962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 NW 179 ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553408",
            "telephone_number": "786-214-9883",
            "fax_number": "305-648-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 NW 179 ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553408",
            "telephone_number": "786-214-9883",
            "fax_number": "305-648-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-11-22",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "RONDON",
        "authorized_official_first_name": "MADELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-241-9883"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.