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SWEET HOME ADULT RESIDENCE INC NPI 1497964985


NPI Information

NPI: 1497964985
Provider Name: SWEET HOME ADULT RESIDENCE INC

Doing Business As: MI CASITA ALF

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
13562 SW 38TH LN
MIAMI, FL
ZIP 33175
Phone: (305) 552-9789
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SWEET HOME ADULT RESIDENCE INC is an assisted living facility in Miami, 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. SWEET HOME ADULT RESIDENCE INC NPI is 1497964985. The provider is registered as an organization entity type.
The provider Is Doing Business As Mi Casita Alf.

The provider's business location address is:

13562 SW 38TH LN
MIAMI, FL
ZIP 33175-214
Phone: (305) 552-9789
Fax: (305) 225-1289

The provider's authorized official is Sara Zelda Gonzalez .
The authorized official title is Administrator and has the following contact phone number (305) 552-9789.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 9/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL9214FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1140587000MEDICAIDFLORIDA
2679428900MEDICAIDFLORIDA

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: 11/14/2023

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