La Colonia 1 Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11909 Issued in FL

Legal business name

LA COLONIA 1 ALF, INC.

Practice address

830 N. E. 10 Lane
Cape Coral, FL 33909-1404

Phone

(239) 772-0029

Fax

(239) 574-0029

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lazaro Flores

Title

President

Phone

(239) 247-9962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1992095145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N. E. 10 LANE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091404",
            "telephone_number": "239-772-0029",
            "fax_number": "239-574-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N. E. 10 LANE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091404",
            "telephone_number": "239-772-0029",
            "fax_number": "239-574-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COLONIA 1 ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-247-9962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cape Coral, FL
• Providers in Cape Coral, 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 Apr 8, 2011; 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.