Organization Active NPI

Cruz Family Home LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1538864681
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CRUZ FAMILY HOME LLC
Practice address
3037 SW 17TH St
Miami, FL 33145-1909
Phone
(786) 536-9797
Fax
(305) 381-1636
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Yoana Llanes
Title
Owner/Admin.
Phone
(786) 406-9359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3037 SW 17TH St
Miami, FL 33145-1909

Mailing address

3037 SW 17TH St
Miami, FL 33145-1909
Phone (786) 536-9797

Other identifiers 1

IdentifierTypeStateIssuer
13782OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1538864681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 SW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451909",
            "telephone_number": "786-536-9797",
            "fax_number": "305-381-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 SW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451909",
            "telephone_number": "786-536-9797",
            "fax_number": "305-381-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "LLANES",
        "authorized_official_first_name": "YOANA",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "786-406-9359"
    },
    "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": "13782",
            "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 Mar 30, 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.