Superior Alf Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12284 Issued in FL

Legal business name

SUPERIOR ALF INC.

Practice address

14610 SW 296TH St
Homestead, FL 33033-2970

Phone

(786) 243-2480

Fax

(786) 243-2480

NPI assigned

Nov 24, 2012

Organization subpart

No

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

Authorized official

Name

Victor M. Fagundo

Title

Pres.

Phone

(786) 243-2480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353715200000",
    "number": "1588908958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14610 SW 296TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332970",
            "telephone_number": "786-243-2480",
            "fax_number": "786-243-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14610 SW 296TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332970",
            "telephone_number": "786-243-2480",
            "fax_number": "786-243-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR ALF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-24",
        "last_updated": "2012-11-24",
        "status": "A",
        "authorized_official_last_name": "FAGUNDO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "786-243-2480"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Homestead, FL
• Providers in Homestead, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2012; 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.