Organization Active NPI

Lilita Home 2 Alf

  • Assisted Living Facility
  • Opa Locka, FL
National Provider Identifier
1730397969
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 10419 Issued in FL
Legal business name
LILITA HOME 2 ALF
Practice address
4503 NW 203Rd Ter
Opa Locka, FL 33055-1243
Phone
(305) 362-6293
Fax
(305) 225-1289
NPI assigned
May 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Caridad Barreal
Title
Administrator
Phone
(305) 362-6293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 10419 FL Primary

Addresses

Primary practice location

4503 NW 203Rd Ter
Opa Locka, FL 33055-1243

Mailing address

4503 NW 203Rd Ter
Opa Locka, FL 33055-1243
Phone (305) 362-6293

Other identifiers 1

IdentifierTypeStateIssuer
142183200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1730397969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 NW 203RD TER",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330551243",
            "telephone_number": "305-362-6293",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 NW 203RD TER",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330551243",
            "telephone_number": "305-362-6293",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILITA HOME 2 ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "BARREAL",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-362-6293"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 10419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142183200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.