NPIMap

Organization Active NPI

Palm Garden Inc/Dbanewhorizonmanor

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1831510247
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10490 Issued in FL
Legal business name
PALM GARDEN INC/DBANEWHORIZONMANOR
Practice address
6245 W 12TH Ave
Hialeah, FL 33012-6411
Phone
(305) 970-8812
Fax
(305) 825-5007
NPI assigned
Jan 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Ana Alvarez
Title
Administrator Owner
Phone
(305) 970-8812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10490 FL Primary

Addresses

Primary practice location

6245 W 12TH Ave
Hialeah, FL 33012-6411

Mailing address

7968 W 14TH CT
Hialeah, FL 33014-3322
Phone (305) 970-8812

Other identifiers 1

IdentifierTypeStateIssuer
1447412267MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
A New Horizon Manor4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1831510247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7968 W 14TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143322",
            "telephone_number": "305-970-8812",
            "fax_number": "305-825-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126411",
            "telephone_number": "305-970-8812",
            "fax_number": "305-825-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM GARDEN INC/DBANEWHORIZONMANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "305-970-8812"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447412267",
            "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 Jan 2, 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.