DE BLANCA HOME III (NPI# 1225299548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225299548 |
| Entity Type | Organization |
| Organization Name | DE BLANCA HOME III |
| Practice Address |
4010 Sw 107th Ave Miami FL 33165-4813 |
| Practice Telephone | 3052208616 |
| Mailing Telephone | 3052208616 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | BLANCA LOPETEGUI (OWNER) |
| Authorized Official Telephone | 3055517721 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL9317 | FL | Nursing & Custodial Care Facilities |
| Street Address |
4010 SW 107TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588068092 | Ondymercy Corporation | Assisted Living Facility | 4010 Sw 107th Ave, Miami, FL 33165-4813 | 2014-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1063925444 | Saejca's Castle LLC II | Assisted Living Facility | 761 Nw 203rd St, Miami, FL 33169-2302 | 2017-11-08 |
| 1770003352 | Granada Alf LLC | Assisted Living Facility | 11935 Sw 49th St, Miami, FL 33175-5603 | 2017-06-23 |
| 1295276111 | Alf Sweet Home, LLC | Assisted Living Facility | 9700 Sw 15th St, Miami, FL 33174-2925 | 2017-03-10 |
| 1114374527 | Triana Assisted Living Facility, Inc. | Assisted Living Facility | 12199 Sw 51st St, Miami, FL 33175-5600 | 2016-05-17 |
| 1851758676 | Winston's Alf | Assisted Living Facility | 6951 Nw 5th Ct, Miami, FL 33150-3905 | 2016-01-25 |
| 1669870754 | Pioneer Adult Facility LLC. | Assisted Living Facility | 2166 Sw 14th Ter, Miami, FL 33145-1312 | 2014-12-05 |
| 1932508678 | Laura's Elderly Homecare | Assisted Living Facility | 19500 Sw 127th Ave, Miami, FL 33177-4208 | 2014-08-19 |
| 1477983617 | Amor Y Paz Alf Inc. | Assisted Living Facility | 7851 N.w. 197th St., Miami, FL 33015 | 2013-11-26 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.