Active NPI
Mae Alf
- Assisted Living Facility
- Miami Gardens, FL
National Provider Identifier
1508517962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.