Organization Active NPI

Family Boarding Home Inc

Doing business as Arcadia Manor ALC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1669689493
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 5551 Issued in FL
Legal business name
FAMILY BOARDING HOME INC
Doing business as
Arcadia Manor ALC
Practice address
1024 1026 SW 19 Ave
Miami, FL 33135
Phone
(305) 643-2571
Fax
(305) 644-0091
NPI assigned
May 17, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Leonor Gonzalez
Title
President
Phone
(305) 510-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 5551 FL Primary

Addresses

Primary practice location

1024 1026 SW 19 Ave
Miami, FL 33135

Mailing address

1026 SW 19 Ave
Miami, FL 33135
Phone (305) 643-2571

Other identifiers 1

IdentifierTypeStateIssuer
140137800MedicaidFL

Other names 1

  • Arcadia Manor ALC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arcadia Manor Alc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1669689493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 SW 19 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-643-2571",
            "fax_number": "305-644-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 1026 SW 19 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-643-2571",
            "fax_number": "305-644-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BOARDING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-510-8060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 5551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140137800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Manor ALC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.