Organization Active NPI

Yamile'S Home

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1760693683
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9682 Issued in FL
Legal business name
YAMILE'S HOME
Practice address
6135 W 8TH Ave
Hialeah, FL 33012-6537
Phone
(305) 558-8769
Fax
(305) 225-1289
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Damian Hurtado
Title
Administrator
Phone
(305) 558-8769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9682 FL Primary

Addresses

Primary practice location

6135 W 8TH Ave
Hialeah, FL 33012-6537

Mailing address

6135 W 8TH Ave
Hialeah, FL 33012-6537
Phone (305) 558-8769

Other identifiers 1

IdentifierTypeStateIssuer
142226000MedicaidFL

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1760693683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 W 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126537",
            "telephone_number": "305-558-8769",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 W 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126537",
            "telephone_number": "305-558-8769",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMILE'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-558-8769"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142226000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.