Active NPI
My Dream Alf LLC
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1932610508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 13051
- Legal business name
- MY DREAM ALF LLC
- Practice address
- 55 NE 193Rd Ter
Miami, FL 33179-3232 - Phone
- (954) 394-7164
- Fax
- (305) 974-3734
- NPI assigned
- Oct 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natiesha Stewart Reisner
- Title
- MGR
- Phone
- (954) 394-7164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 13051 | FL | Primary |
Addresses
Primary practice location
55 NE 193Rd Ter
Miami, FL 33179-3232
Mailing address
55 NE 193Rd Ter
Miami, FL 33179-3232
Phone (954) 394-7164
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508716800000",
"number": "1932610508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 NE 193RD TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793232",
"telephone_number": "954-394-7164",
"fax_number": "305-974-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 NE 193RD TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331793232",
"telephone_number": "954-394-7164",
"fax_number": "305-974-3734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY DREAM ALF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A",
"authorized_official_last_name": "STEWART REISNER",
"authorized_official_first_name": "NATIESHA",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "954-394-7164"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "13051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.