Elena'S Home Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12877 Issued in FL

Legal business name

ELENA'S HOME CORP

Practice address

4680 SW 154TH Place
Miami, FL 33185

Phone

(305) 603-9169

Fax

(305) 603-9169

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Sandy G Melo

Title

Ownern

Phone

(786) 597-3812

Specialties & licenses 1

Addresses

Other names 1

• Elena's Home Corp Other name

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1952843682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 SW 154TH PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "305-603-9169",
            "fax_number": "305-603-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 SW 154TH PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "305-603-9169",
            "fax_number": "305-603-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA'S HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "MELO",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNERN",
        "authorized_official_telephone_number": "786-597-3812"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elena's Home Corp",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Elena's Home Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.