Organization Active NPI

Grace Care Family Home, Corp

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1962824623
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10394 Issued in FL
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

Updated by the provider on Jan 15, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.