Abuelos Alf, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF10458 Issued in FL

Legal business name

ABUELOS ALF, INC

Practice address

1031 NW 39TH CT
Miami, FL 33126-3623

Phone

(305) 456-7330

Fax

(305) 503-7576

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Minerva Marin

Title

Owner

Phone

(305) 310-4239

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1619486438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 NW 39TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263623",
            "telephone_number": "305-456-7330",
            "fax_number": "305-503-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 NW 39TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263623",
            "telephone_number": "305-456-7330",
            "fax_number": "305-503-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUELOS ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-310-4239"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "ALF10458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "AL10358",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022355900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Dec 14, 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.