Organization Active NPI

Blessed Home Alf LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1801505136
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLESSED HOME ALF LLC
Practice address
12365 SW 42ND St
Miami, FL 33175-3057
Phone
(305) 763-4259
Fax
(786) 431-1702
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Yisel M Lopez
Title
Owner
Phone
(305) 763-4259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12365 SW 42ND St
Miami, FL 33175-3057

Mailing address

12365 SW 42ND St
Miami, FL 33175-3057
Phone (305) 763-4259

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1801505136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12365 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753057",
            "telephone_number": "305-763-4259",
            "fax_number": "786-431-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12365 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753057",
            "telephone_number": "305-763-4259",
            "fax_number": "786-431-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HOME ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "YISEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-763-4259"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 2022; 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.