FLAMINGO PARK MANOR LLC NPI 1417185000

NPI Information

  • NPI: 1417185000
  • Provider Name: FLAMINGO PARK MANOR LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: FLAMINGO PARK MANOR
  • Address: 3051 E 4TH AVE
    HIALEAH, FL
    ZIP 33013
  • Phone: (786) 419-6949

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NPI Details

FLAMINGO PARK MANOR LLC 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. FLAMINGO PARK MANOR LLC NPI is 1417185000. The provider is registered as an organization entity type.
The provider Is Doing Business As Flamingo Park Manor.

The provider's business location address is:

3051 E 4TH AVE
HIALEAH, FL
ZIP 33013-260
Phone: (786) 419-6949

The provider's authorized official is Claudia Pace .
The authorized official title is Director Of Operations and has the following contact phone number (786) 419-6949.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 6/23/2009.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL7308FLORIDANo
2310400000XAssisted Living FacilityAL7308FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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