New Age Adultcare

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12526 Issued in FL

Legal business name

NEW AGE ADULTCARE

Practice address

1105 W 2ND Ave
Hialeah, FL 33010-3802

Phone

(786) 477-0464

NPI assigned

Jun 27, 2014

Organization subpart

No

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

Authorized official

Name

Damian Hurtado

Title

Owner

Phone

(786) 477-0464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1942615000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103802",
            "telephone_number": "786-477-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE ADULTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-477-0464"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.