Organization Active NPI

Shalom Alf Corp

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1952567729
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11381 Issued in FL
Legal business name
SHALOM ALF CORP
Practice address
441 NW 33Rd Ave
Miami, FL 33125-4127
Phone
(305) 644-5808
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mrs. Clara Rosa Reyes
Title
Owner/ Administrator
Phone
(305) 644-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11381 FL Primary

Addresses

Primary practice location

441 NW 33Rd Ave
Miami, FL 33125-4127

Mailing address

441 NW 33Rd Ave
Miami, FL 33125-4127
Phone (305) 644-5808

Other identifiers 1

IdentifierTypeStateIssuer
991302500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1952567729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW 33RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254127",
            "telephone_number": "305-644-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 NW 33RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254127",
            "telephone_number": "305-644-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM ALF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "305-644-5808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "991302500",
            "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 Jul 31, 2008; 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.