Organization Active NPI

Nami Home 2 Inc

  • Assisted Living Facility
  • Pembroke Pines, FL
National Provider Identifier
1548650385
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12592 Issued in FL
Legal business name
NAMI HOME 2 INC
Practice address
11120 SW 10TH St
Pembroke Pines, FL 33025-5508
Phone
(786) 237-8325
Fax
(754) 217-3533
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Borges Luis Ruiz
Title
Administrator
Phone
(786) 237-8325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12592 FL Primary

Addresses

Primary practice location

11120 SW 10TH St
Pembroke Pines, FL 33025-5508

Mailing address

11120 SW 10TH St
Pembroke Pines, FL 33025-5508
Phone (786) 237-8325

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1548650385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 SW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255508",
            "telephone_number": "786-237-8325",
            "fax_number": "754-217-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 SW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255508",
            "telephone_number": "786-237-8325",
            "fax_number": "754-217-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMI HOME 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "BORGES",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-237-8325"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.