GREEN STREET ALF CORP NPI 1831550847

NPI Information

  • NPI: 1831550847
  • Provider Name: GREEN STREET ALF, CORP
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Former Legal Business Name: GREEN STREET ALF, CORP
  • Address: 12262 SW 250TH TER
    HOMESTEAD, FL
    ZIP 33032
  • Phone: (786) 274-0144

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NPI Details

GREEN STREET ALF, CORP is an assisted living facility in Homestead, 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. GREEN STREET ALF, CORP NPI is 1831550847. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Green Street Alf, Corp.

The provider's business location address is:

12262 SW 250TH TER
HOMESTEAD, FL
ZIP 33032-952
Phone: (786) 274-0144
Fax: (855) 299-0714

The provider's authorized official is Carlos E Caballero .
The authorized official title is Owner/administrator and has the following contact phone number (786) 274-0144.

The enumeration date for this NPI number is 3/18/2016 and was last updated on 3/18/2016.

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 FacilityAL12805FLORIDAYes

What is NPI?

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

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