Organization Active NPI

Angelina Alf LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1679217335
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANGELINA ALF LLC
Practice address
4680 SW 154 Place
Miami, FL 33185
Phone
(305) 827-0070
Fax
(305) 827-0077
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Zenen A. Bernal
Title
Owner
Phone
(786) 660-5448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4680 SW 154 Place
Miami, FL 33185

Mailing address

4680 SW 154 Place
Miami, FL 33185
Phone (305) 827-0077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1679217335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 SW 154 PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "305-827-0077",
            "fax_number": "305-827-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 SW 154 PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "305-827-0070",
            "fax_number": "305-827-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2024-02-07",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ZENEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-660-5448"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 7, 2024; 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.