La Excelencia Alf Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11462 Issued in FL

Legal business name

LA EXCELENCIA ALF CORP

Practice address

16400 NW 82ND CT
Miami Lakes, FL 33016-3474

Phone

(786) 402-1280

Fax

(305) 362-1920

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Jesus A Vargas

Title

President

Phone

(786) 514-5734

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1942453436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 NW 82ND CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163474",
            "telephone_number": "786-402-1280",
            "fax_number": "305-362-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 NW 82ND CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163474",
            "telephone_number": "786-402-1280",
            "fax_number": "305-362-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA EXCELENCIA ALF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-514-5734"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.