Organization Active NPI

Mi Renacer Alf, Corp

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1942495163
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11013 Issued in FL
Legal business name
MI RENACER ALF, CORP
Practice address
1305 SE 7TH St
Homestead, FL 33033-5084
Phone
(305) 247-6460
NPI assigned
Sep 11, 2007
Last updated
Jan 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Authorized official

Name
Daniel Martinez
Title
President
Phone
(305) 247-6460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11013 FL Primary

Addresses

Primary practice location

1305 SE 7TH St
Homestead, FL 33033-5084

Mailing address

1305 SE 7TH St
Homestead, FL 33033-5084
Phone (305) 247-6460

Other identifiers 1

IdentifierTypeStateIssuer
142805500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1942495163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SE 7TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335084",
            "telephone_number": "305-247-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SE 7TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335084",
            "telephone_number": "305-247-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI RENACER ALF, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-247-6460"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142805500",
            "state": "FL"
        }
    ],
    "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 Jan 28, 2012; 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.