Provider Demographics
NPI:1346724739
Name:NOELITO ASSISTED LIVING COMPANY
Entity Type:Organization
Organization Name:NOELITO ASSISTED LIVING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:N
Authorized Official - Last Name:GELEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-456-7868
Mailing Address - Street 1:4701 SW 117TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-1713
Mailing Address - Country:US
Mailing Address - Phone:305-456-7868
Mailing Address - Fax:305-456-7868
Practice Address - Street 1:4701 SW 117TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-1713
Practice Address - Country:US
Practice Address - Phone:305-456-7868
Practice Address - Fax:305-456-7868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility