Active NPI
Grace Care Family Home, Corp
- Assisted Living Facility
- Hialeah, FL
National Provider Identifier
1962824623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 10394
- Legal business name
- GRACE CARE FAMILY HOME, CORP
- Practice address
- 4221 W 5TH LN
Hialeah, FL 33012-3811 - Phone
- (305) 557-0800
- NPI assigned
- Jan 15, 2014
- 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
- Graciela Gomez
- Title
- Owner
- Phone
- (305) 557-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 10394 | FL | Primary |
Addresses
Primary practice location
4221 W 5TH LN
Hialeah, FL 33012-3811
Mailing address
4221 W 5TH LN
Hialeah, FL 33012-3811
Phone (305) 557-0800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1962824623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 W 5TH LN",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123811",
"telephone_number": "305-557-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 W 5TH LN",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123811",
"telephone_number": "305-557-0800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE CARE FAMILY HOME, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "GRACIELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-557-0800"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "10394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.