Organization Active NPI

Vickis Alf

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1629231733
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 10893 Issued in FL
Legal business name
VICKIS ALF
Practice address
12438 SW 266TH LN
Homestead, FL 33032-7966
Phone
(305) 257-3039
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Maria Victoria Diaz
Title
Owner
Phone
(305) 257-3039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 10893 FL Primary

Addresses

Primary practice location

12438 SW 266TH LN
Homestead, FL 33032-7966

Mailing address

12438 SW 266TH LN
Homestead, FL 33032-7966
Phone (305) 257-3039

National Provider Directory

National Provider Directory
Tax ID family
Meadow Wood Manor Sect 3 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1629231733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12438 SW 266TH LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327966",
            "telephone_number": "305-257-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12438 SW 266TH LN",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327966",
            "telephone_number": "305-257-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKIS ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-257-3039"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.