Organization Active NPI

Living the Dream Alf LLC

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1891541645
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LIVING THE DREAM ALF LLC
Practice address
13442 SW 284TH St
Homestead, FL 33033-1942
Phone
(786) 601-7385
Fax
(786) 601-7385
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Omar Mendez
Title
Owner
Phone
(305) 910-9465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

13442 SW 284TH St
Homestead, FL 33033-1942

Mailing address

13442 SW 284TH St
Homestead, FL 33033-1942
Phone (786) 601-7385

Other identifiers 1

IdentifierTypeStateIssuer
12831OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1891541645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13442 SW 284TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331942",
            "telephone_number": "786-601-7385",
            "fax_number": "786-601-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13442 SW 284TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331942",
            "telephone_number": "786-601-7385",
            "fax_number": "786-601-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING THE DREAM ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-910-9465"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "12831",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.