Active NPI
305 Sweet Home Alf LLC.
- Assisted Living Facility
- Miami Gardens, FL
National Provider Identifier
1770179582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- 305 SWEET HOME ALF LLC.
- Practice address
- 3910 NW 165TH St
Miami Gardens, FL 33054-6223 - Phone
- (786) 567-1322
- NPI assigned
- Dec 15, 2020
- Last updated
- Dec 15, 2020
- 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
- Karelys Hernandez
- Title
- President
- Phone
- (786) 567-1322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X |
Addresses
Primary practice location
3910 NW 165TH St
Miami Gardens, FL 33054-6223
Mailing address
3910 NW 165TH St
Miami Gardens, FL 33054-6223
Phone (786) 567-1322
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Miami Gardens, FL
- NPI 1285441725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607990400000",
"number": "1770179582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 NW 165TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330546223",
"telephone_number": "786-567-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 NW 165TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330546223",
"telephone_number": "786-567-1322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "305 SWEET HOME ALF LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "KARELYS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-567-1322"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.