Vickey's Home Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11137 Issued in FL

Legal business name

VICKEY'S HOME ALF

Practice address

6402 SW 41 Street
Miami, FL 33155

Phone

(305) 662-4845

Fax

(855) 631-3861

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Andy Capote

Title

Owner

Phone

(305) 587-3125

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1710138946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 SW 41 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-662-4845",
            "fax_number": "855-631-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 SW 41 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-662-4845",
            "fax_number": "855-631-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKEY'S HOME ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "CAPOTE",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-587-3125"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142522600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana Sofia Viciana
• Rodolfo Esteban Viciedo Correa
• Alexandra Lourdes Viciedo, COTA/L
• Melissa Vick, MD
• Kipp Vickers, BA
• Vicky Rodriguez DDS PA
• Alejandra B Vico Sanchez
• Victor Lopez de Mendoza, MD PLLC
• Victor Manuel Garcia DMD PA
• Victor P. Krestow, MD, PA

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.