Active NPI
Salmo 23 Elder Care Inc
- Assisted Living Facility
- Hialeah, FL
National Provider Identifier
1649480724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL 8904
- Legal business name
- SALMO 23 ELDER CARE INC
- Practice address
- 277 East 4 Street
Hialeah, FL 33010 - Phone
- (305) 863-9623
- Fax
- (305) 883-1868
- NPI assigned
- May 23, 2007
- Reactivated
- Jun 17, 2008
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Odelmis Bello
- Title
- President
- Phone
- (786) 444-8372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL 8904 | FL | Primary |
Addresses
Primary practice location
277 East 4 Street
Hialeah, FL 33010
Mailing address
277 East 4 Street
Hialeah, FL 33010
Phone (305) 863-9623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141968400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1649480724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 EAST 4 STREET",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33010",
"telephone_number": "305-863-9623",
"fax_number": "305-883-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 EAST 4 STREET",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33010",
"telephone_number": "305-863-9623",
"fax_number": "305-883-1868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALMO 23 ELDER CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2008-06-17",
"deactivation_date": "2008-06-03",
"reactivation_date": "2008-06-17",
"status": "A",
"authorized_official_last_name": "BELLO",
"authorized_official_first_name": "ODELMIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-444-8372"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL 8904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141968400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.