Organization Active NPI

Anchor Light Facility Corp

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1710816293
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANCHOR LIGHT FACILITY CORP
Practice address
16925 SW 300TH St
Homestead, FL 33030-3438
Phone
(786) 601-7397
Fax
(305) 675-2722
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Larry Gonzalez
Title
Owner
Phone
(786) 838-9455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

16925 SW 300TH St
Homestead, FL 33030-3438

Mailing address

16925 SW 300TH St
Homestead, FL 33030-3438
Phone (786) 601-7397

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1710816293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16925 SW 300TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303438",
            "telephone_number": "786-601-7397",
            "fax_number": "305-675-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16925 SW 300TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303438",
            "telephone_number": "786-601-7397",
            "fax_number": "305-675-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR LIGHT FACILITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-838-9455"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.