Provider Demographics
NPI:1053852582
Name:ACHOY ASSISTED LIVING, INC.
Entity Type:Organization
Organization Name:ACHOY ASSISTED LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:EYALINES
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-346-9782
Mailing Address - Street 1:3601 W 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4986
Mailing Address - Country:US
Mailing Address - Phone:786-300-5137
Mailing Address - Fax:305-887-3245
Practice Address - Street 1:3601 W 11TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4986
Practice Address - Country:US
Practice Address - Phone:786-300-5137
Practice Address - Fax:305-887-3245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12981310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility