Organization Active NPI

Renacer Aclf. Corporation

  • Assisted Living Facility (Mental Illness)
  • Hialeah, FL
National Provider Identifier
1881786952
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL 7592 Issued in FL
Legal business name
RENACER ACLF. CORPORATION
Practice address
115 W 5TH St
Hialeah, FL 33010-4725
Phone
(305) 884-0611
Fax
(305) 884-0611
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Marilu Nodarse
Title
President/Administrator
Phone
(305) 496-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL 7592 FL Primary

Addresses

Primary practice location

115 W 5TH St
Hialeah, FL 33010-4725

Mailing address

115 W 5TH St
Hialeah, FL 33010-4725
Phone (305) 884-0611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881786952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 5TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104725",
            "telephone_number": "305-884-0611",
            "fax_number": "305-884-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 5TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104725",
            "telephone_number": "305-884-0611",
            "fax_number": "305-884-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENACER ACLF. CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NODARSE",
        "authorized_official_first_name": "MARILU",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-496-1513",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL 7592",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 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.