Mi Retiro Alf II LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10311 Issued in FL

Legal business name

MI RETIRO ALF II LLC

Practice address

2793 W 72ND St
Hialeah, FL 33016-5439

Phone

(305) 362-5264

Fax

(305) 225-1289

NPI assigned

May 21, 2007

Organization subpart

Yes

Parent organization

HERNANDEZ FAMILY INVESTING, INC.As reported in NPPES

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

Authorized official

Name

Mr. Chris Hernandez

Title

Owner/President

Phone

(305) 333-1986

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hernandez Living I LLC Former legal business name

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1942419445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165439",
            "telephone_number": "305-362-5264",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165439",
            "telephone_number": "305-362-5264",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI RETIRO ALF II LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERNANDEZ FAMILY INVESTING, INC.",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-333-1986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142619200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernandez Living I LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, 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 Aug 1, 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.