Organization Active NPI

Holy Family Group Home, Alf,Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1942549530
Registry record updated Feb 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12282 Issued in FL
Legal business name
HOLY FAMILY GROUP HOME, ALF,INC
Practice address
920 SW 93Rd Ave
Miami, FL 33174-3157
Phone
(305) 562-0615
NPI assigned
Feb 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2013

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

Authorized official

Name
Pedro Hernandez
Title
President
Phone
(305) 562-0615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12282 FL Primary

Addresses

Primary practice location

920 SW 93Rd Ave
Miami, FL 33174-3157

Mailing address

920 SW 93Rd Ave
Miami, FL 33174-3157
Phone (305) 562-0615

Other identifiers 1

IdentifierTypeStateIssuer
007273200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359849600000",
    "number": "1942549530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW 93RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743157",
            "telephone_number": "305-562-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW 93RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743157",
            "telephone_number": "305-562-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY GROUP HOME, ALF,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-562-0615"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007273200",
            "state": "FL"
        }
    ],
    "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 Feb 3, 2013; 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.