NPIMap

Organization Active NPI

San Judas Home for the Elderly Inc

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1649694977
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10261 Issued in FL
Legal business name
SAN JUDAS HOME FOR THE ELDERLY INC
Practice address
14602 NW 87TH CT
Hialeah, FL 33018-8048
Phone
(305) 828-2003
Fax
(305) 556-1118
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Mrs. Elizabeth Buzzi
Title
Owner
Phone
(305) 828-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10261 FL Primary

Addresses

Primary practice location

14602 NW 87TH CT
Hialeah, FL 33018-8048

Mailing address

14602 NW 87TH CT
Hialeah, FL 33018-8048
Phone (305) 828-2003

National Provider Directory

National Provider Directory
Tax ID family
San Judas Home for the Elderly2 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": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1649694977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14602 NW 87TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330188048",
            "telephone_number": "305-828-2003",
            "fax_number": "305-556-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14602 NW 87TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330188048",
            "telephone_number": "305-828-2003",
            "fax_number": "305-556-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUDAS HOME FOR THE ELDERLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "BUZZI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-828-2003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10261",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 6, 2014; 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.