HEAVENLY HOME CARE ALF INC. NPI 1043490576

NPI Information

NPI: 1043490576
Provider Name: HEAVENLY HOME CARE ALF, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
34 W 14TH ST
HIALEAH, FL
ZIP 33010
Phone: (305) 888-6356
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HEAVENLY HOME CARE ALF, INC. is an assisted living facility in Hialeah, 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. HEAVENLY HOME CARE ALF, INC. NPI is 1043490576. The provider is registered as an organization entity type.

The provider's business location address is:

34 W 14TH ST
HIALEAH, FL
ZIP 33010-419
Phone: (305) 888-6356

The provider's authorized official is Olga Cruz .
The authorized official title is Administrator and has the following contact phone number (786) 417-2313.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 11/13/2007.

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
1	310400000X	Assisted Living Facility		AL5853	FLORIDA	Yes

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
1	142146800	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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