Active NPI
Ivehome II Alf Inc.
- Adult Care Home Facility
- Miami, FL
National Provider Identifier
1760804280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- AL10826
- Legal business name
- IVEHOME II ALF INC.
- Practice address
- 22636 SW 125TH Ave
Miami, FL 33170-6318 - Phone
- (786) 501-4311
- Fax
- (305) 278-8080
- NPI assigned
- Jan 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rene Aspacio Loche
- Title
- Administrator
- Phone
- (786) 501-4311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | AL10826 | FL | Primary |
Addresses
Primary practice location
22636 SW 125TH Ave
Miami, FL 33170-6318
Mailing address
22636 SW 125TH Ave
Miami, FL 33170-6318
Phone (786) 501-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142588900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389916800000",
"number": "1760804280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22636 SW 125TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331706318",
"telephone_number": "786-501-4311",
"fax_number": "305-278-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22636 SW 125TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331706318",
"telephone_number": "786-501-4311",
"fax_number": "305-278-8080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVEHOME II ALF INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A",
"authorized_official_last_name": "LOCHE",
"authorized_official_first_name": "RENE",
"authorized_official_middle_name": "ASPACIO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-501-4311"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "AL10826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142588900",
"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 Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.