Gardenia Home Alf,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12558 Issued in FL

Legal business name

GARDENIA HOME ALF,LLC

Doing business as

Granny's Garden Home ALF, LLC

Practice address

12816 SW 67TH Ter
Miami, FL 33183-1336

Phone

(786) 499-0265

NPI assigned

Oct 26, 2014

Organization subpart

No

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

Authorized official

Name

Jorge E Re

Title

Manager/Administrator

Phone

(786) 250-3345

Specialties & licenses 1

Addresses

Other names 1

• Granny's Garden Home ALF, LLC Doing business as

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414281600000",
    "number": "1811392400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12816 SW 67TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831336",
            "telephone_number": "786-499-0265",
            "fax_number": "786-250-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 SW 67TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831336",
            "telephone_number": "786-499-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENIA HOME ALF,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-26",
        "last_updated": "2014-10-26",
        "status": "A",
        "authorized_official_last_name": "RE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-250-3345"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granny's Garden Home ALF, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garden General Service Corp
• Garden Generl Service
• Garden Hills Retirement Center, Inc
• Garden Medical Reserach ,Inc
• Garden of Hope Inc
• Gardenias Physical Therapy Corp
• Gardens Group Home Corp
• Giulio Gardi Garcia
• Ava Diane Gardner, MS
• Dan Gardner III, R.PH.

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.