Organization Active NPI

Santa Clara Alf, Inc.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1730246927
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
9834 Issued in FL
Legal business name
SANTA CLARA ALF, INC.
Practice address
2830 SW 106TH Ave
Miami, FL 33165-2748
Phone
(305) 221-9955
Fax
(786) 513-5928
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. Rene Batle
Title
Owner & Administrator
Phone
(305) 216-2638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9834 FL Primary

Addresses

Primary practice location

2830 SW 106TH Ave
Miami, FL 33165-2748

Mailing address

6120 NW 2ND St
Miami, FL 33126-4604

Other identifiers 1

IdentifierTypeStateIssuer
142293600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1730246927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264604",
            "fax_number": "786-513-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 SW 106TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652748",
            "telephone_number": "305-221-9955",
            "fax_number": "786-513-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "BATLE",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER & ADMINISTRATOR",
        "authorized_official_telephone_number": "305-216-2638",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142293600",
            "state": "FL"
        }
    ],
    "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 Mar 21, 2012; 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.