Provider Demographics
NPI:1730494295
Name:VILLA CHIRINOS ALF CORP
Entity Type:Organization
Organization Name:VILLA CHIRINOS ALF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:CHIRINOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-298-7047
Mailing Address - Street 1:6780 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5521
Mailing Address - Country:US
Mailing Address - Phone:305-262-6832
Mailing Address - Fax:
Practice Address - Street 1:6780 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5521
Practice Address - Country:US
Practice Address - Phone:305-262-6832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11757310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility