Provider Demographics
NPI:1609398551
Name:UNITED WELLNESS ALF LLC
Entity Type:Organization
Organization Name:UNITED WELLNESS ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-398-1007
Mailing Address - Street 1:15040 SW 144TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5677
Mailing Address - Country:US
Mailing Address - Phone:305-234-2437
Mailing Address - Fax:305-234-2437
Practice Address - Street 1:15040 SW 144TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5677
Practice Address - Country:US
Practice Address - Phone:305-234-2437
Practice Address - Fax:305-234-2437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10387310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility