Wise Years Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11296 Issued in FL

Legal business name

WISE YEARS ALF INC

Practice address

20229 SW 85TH CT
Cutler Bay, FL 33189-2523

Phone

(305) 969-7119

Fax

(305) 969-7119

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Benilda Menendez

Title

President

Phone

(305) 969-7119

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1912150004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20229 SW 85TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892523",
            "telephone_number": "305-969-7119",
            "fax_number": "305-969-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20229 SW 85TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892523",
            "telephone_number": "305-969-7119",
            "fax_number": "305-969-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE YEARS ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "BENILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-969-7119"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000186100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cutler Bay, FL
• Providers in Cutler Bay, 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 Nov 3, 2008; 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.