Organization Active NPI

Ana'S Family Home Alf, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1609536663
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANA'S FAMILY HOME ALF, INC.
Practice address
11750 SW 192ND St
Miami, FL 33177-3921
Phone
(305) 234-3568
Fax
(305) 235-4881
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Jesus Martinez
Title
Owner/Admin
Phone
(305) 457-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11750 SW 192ND St
Miami, FL 33177-3921

Mailing address

11750 SW 192ND St
Miami, FL 33177-3921
Phone (305) 234-3568

Other identifiers 1

IdentifierTypeStateIssuer
9779OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1609536663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 SW 192ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773921",
            "telephone_number": "305-234-3568",
            "fax_number": "305-235-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW 192ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773921",
            "telephone_number": "305-234-3568",
            "fax_number": "305-235-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA'S FAMILY HOME ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "305-457-6501"
    },
    "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": "9779",
            "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 Dec 17, 2021; 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.