La Gloria de Dios LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LA GLORIA DE DIOS LLC

Practice address

3456 SW 113TH PL
Miami, FL 33165-3414

Phone

(786) 362-5868

Fax

(786) 362-5868

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Lazara Y Montana

Title

Owner

Phone

(786) 547-3556

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1922767185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653414",
            "telephone_number": "786-362-5868",
            "fax_number": "786-362-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 SW 113TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653414",
            "telephone_number": "786-362-5868",
            "fax_number": "786-362-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GLORIA DE DIOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "MONTANA",
        "authorized_official_first_name": "LAZARA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-547-3556"
    },
    "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": "13668",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy La Fe Ugarte I
• Mayelin La Fe Veloz, MD
• Mieydis La Fe
• La Finca Alf, Inc
• La Gloria de Dios II LLC
• La Gloria Pharmacy Inc
• La Kay Medical Corp
• La Luz Mental Health Services Inc
• La Luz Mental Health Services Inc
• La Luz Mental Health Services Inc

• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Dec 14, 2021; 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.