Organization Active NPI

RS Willow Haven Alf Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1942735972
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10457 Issued in FL
Legal business name
RS WILLOW HAVEN ALF INC
Practice address
1220 NE 207TH St
Miami, FL 33179-2019
Phone
(305) 749-6369
Fax
(305) 503-7271
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Rachel Sade
Title
Owner
Phone
(786) 262-7386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10457 FL Primary

Addresses

Primary practice location

1220 NE 207TH St
Miami, FL 33179-2019

Mailing address

1220 NE 207TH St
Miami, FL 33179-2019
Phone (305) 749-6369

National Provider Directory

National Provider Directory

Locations

1220 NE 207th St
North Miami Beach, FL 33179
Phone (305) 652-8152

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1942735972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NE 207TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792019",
            "telephone_number": "305-749-6369",
            "fax_number": "305-503-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NE 207TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792019",
            "telephone_number": "305-749-6369",
            "fax_number": "305-503-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RS WILLOW HAVEN ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "SADE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-262-7386"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10457",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 27, 2017; 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.