Organization Active NPI

San Rafael Home Health, Inc.

  • Assisted Living Facility (Mental Illness)
  • Homestead, FL
National Provider Identifier
1942456843
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL 11080 Issued in FL
Legal business name
SAN RAFAEL HOME HEALTH, INC.
Practice address
13373 SW 283Rd St
Homestead, FL 33033-7381
Phone
(305) 246-2220
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Ada F. Perez, LIC.
Title
President/Director
Phone
(305) 235-1752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL 11080 FL Primary

Addresses

Primary practice location

13373 SW 283Rd St
Homestead, FL 33033-7381

Mailing address

17961 SW 143Rd CT
Miami, FL 33177-7664

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1942456843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17961 SW 143RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13373 SW 283RD ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337381",
            "telephone_number": "305-246-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAFAEL HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "305-235-1752",
        "authorized_official_credential": "LIC."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL 11080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.