Provider Demographics
NPI:1164619540
Name:LA ESPERANZA ALF
Entity Type:Organization
Organization Name:LA ESPERANZA ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:J
Authorized Official - Last Name:JASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-742-7605
Mailing Address - Street 1:21045 SW 124TH AVE RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177
Mailing Address - Country:US
Mailing Address - Phone:305-742-7605
Mailing Address - Fax:786-293-9532
Practice Address - Street 1:21045 SW 124TH AVE RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177
Practice Address - Country:US
Practice Address - Phone:305-742-7605
Practice Address - Fax:786-293-9532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility