Organization Active NPI

Los Abuelito's Residence Home II

  • Assisted Living Facility
  • Miami Lakes, FL
National Provider Identifier
1962717983
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11752 Issued in FL
Legal business name
LOS ABUELITO'S RESIDENCE HOME II
Practice address
6360 Lake June Rd
Miami Lakes, FL 33014-3047
Phone
(786) 360-4544
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Juanita Lopez
Title
Owner-Administrator
Phone
(305) 318-7093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11752 FL Primary

Addresses

Primary practice location

6360 Lake June Rd
Miami Lakes, FL 33014-3047

Mailing address

6360 Lake June Rd
Miami Lakes, FL 33014-3047
Phone (786) 360-4544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1962717983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 LAKE JUNE RD",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143047",
            "telephone_number": "786-360-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 LAKE JUNE RD",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143047",
            "telephone_number": "786-360-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ABUELITO'S RESIDENCE HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "305-318-7093"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.