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LAS DELICIAS ALF INC. NPI 1386855500


NPI Information

NPI: 1386855500
Provider Name: LAS DELICIAS ALF INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4840 N.W. 191 ST.
MIAMI GARDENS, FL
ZIP 33055
Phone: (305) 623-5193
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LAS DELICIAS ALF INC. is an assisted living facility in Miami Gardens, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LAS DELICIAS ALF INC. NPI is 1386855500. The provider is registered as an organization entity type.

The provider's business location address is:

4840 N.W. 191 ST.
MIAMI GARDENS, FL
ZIP 33055
Phone: (305) 623-5193
Fax: (305) 623-5193

The provider's authorized official is Eric Noa Fuentes .
The authorized official title is Owner and has the following contact phone number (786) 271-3124.

The enumeration date for this NPI number is 5/28/2007 and was last updated on 12/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes
2310400000XAssisted Living FacilityAL10907FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000788100MEDICAIDFLORIDA
21427113 00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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