Nonna Gloria Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10339 Issued in FL

Legal business name

NONNA GLORIA ALF, INC.

Practice address

12748 NW 98TH CT
Hialeah Gardens, FL 33018-7422

Phone

(305) 820-3329

Fax

(305) 820-3329

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Mileisy Pedrozo

Title

Owner/Admin.

Phone

(305) 820-3329

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1568824381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12748 N.W. 98 CT.",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181331",
            "telephone_number": "305-820-3329",
            "fax_number": "305-820-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12748 NW 98TH CT",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330187422",
            "telephone_number": "305-820-3329",
            "fax_number": "305-820-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONNA GLORIA ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PEDROZO",
        "authorized_official_first_name": "MILEISY",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "305-820-3329"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hialeah Gardens, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.