Active NPI
RS Willow Haven Alf Inc
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1942735972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 10457
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.