Angeles Residential Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9146 Issued in FL

Legal business name

ANGELES RESIDENTIAL INC

Practice address

6341 Palm Avenue
Hialeah, FL 33012-2684

Phone

(305) 825-0262

Fax

(305) 500-7014

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Rolando Frank Rocha Cruz

Title

President

Phone

(786) 597-4518

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1861679037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 PALM AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122684",
            "telephone_number": "305-825-0262",
            "fax_number": "305-500-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 PALM AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122684",
            "telephone_number": "305-825-0262",
            "fax_number": "305-500-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELES RESIDENTIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-01-10",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "ROCHA CRUZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-597-4518"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140107600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008110500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682061100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, 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 Jan 10, 2025; 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.