Live Well Home Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12102 Issued in FL

Legal business name

LIVE WELL HOME ALF, INC.

Practice address

8886 NW 119TH St
Hialeah, FL 33018-1986

Phone

(786) 360-4455

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Dania Perez

Title

Owner

Phone

(305) 905-3524

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1659760288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8886 NW 119TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330181986",
            "telephone_number": "786-360-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8886 NW 119TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330181986",
            "telephone_number": "786-360-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL HOME ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-905-3524"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hialeah, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.