Organization Active NPI

East Hialeah Manor LLC

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1558877670
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EAST HIALEAH MANOR LLC
Practice address
3051 E 4TH Ave
Hialeah, FL 33013-3260
Phone
(914) 548-7617
Fax
(914) 633-1620
NPI assigned
Dec 27, 2017
Organization subpart
Yes
Parent organization
REGAL HEALTHCARE ALF HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Steven Bicky
Title
Manager
Phone
(914) 548-7617

Specialties & licenses 1

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

Addresses

Primary practice location

3051 E 4TH Ave
Hialeah, FL 33013-3260

Mailing address

22 Regal Dr
New Rochelle, NY 10804-1202
Phone (914) 548-7617

Other names 1

  • East Hialeah Place LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Regal Healthcare Alf Holdings LLC

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1558877670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 REGAL DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041202",
            "telephone_number": "914-548-7617",
            "fax_number": "914-633-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133260",
            "telephone_number": "914-548-7617",
            "fax_number": "914-633-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HIALEAH MANOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGAL HEALTHCARE ALF HOLDINGS LLC",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "BICKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-548-7617"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Hialeah Place LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.