Organization Active NPI

My Humble Kingdom, Inc

Doing business as Princess Gardens Alf

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1699961110
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8303 Issued in FL
Legal business name
MY HUMBLE KINGDOM, INC
Doing business as
Princess Gardens Alf
Practice address
5120 NW 4TH Ter
Miami, FL 33126-5012
Phone
(305) 444-0655
NPI assigned
Sep 18, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Mr. Raul Herrera
Title
President/Administrator
Phone
(305) 444-0655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8303 FL Primary

Addresses

Primary practice location

5120 NW 4TH Ter
Miami, FL 33126-5012

Mailing address

5120 NW 4TH Ter
Miami, FL 33126-5012
Phone (305) 444-0655

Other names 1

  • PRINCESS GARDENS ALF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1699961110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 NW 4TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265012",
            "telephone_number": "305-444-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 NW 4TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265012",
            "telephone_number": "305-444-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HUMBLE KINGDOM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-444-0655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINCESS GARDENS ALF",
            "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 Sep 18, 2007; 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.