Provider Type Icon

HETERY HOME FOR THE ELDERLY NPI 1477761666


NPI Information

NPI: 1477761666
Provider Name: HETERY HOME FOR THE ELDERLY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
825 SE 7TH AVENUE
HIALEAH, FL
ZIP 33010
Phone: (786) 558-8569
Get Directions

HETERY HOME FOR THE ELDERLY 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. HETERY HOME FOR THE ELDERLY NPI is 1477761666. The provider is registered as an organization entity type.

The provider's business location address is:

825 SE 7TH AVENUE
HIALEAH, FL
ZIP 33010-602
Phone: (786) 558-8569
Fax: (305) 225-1289

The provider's authorized official is Roberto Berreras .
The authorized official title is President and has the following contact phone number (786) 413-7016.

The enumeration date for this NPI number is 5/19/2007 and was last updated on 1/20/2022.


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 FacilityAL7612FLORIDAYes

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
1140404100MEDICAIDFLORIDA
2674225400MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.