Provider Demographics
NPI:1821204405
Name:VILLA NORA #2, INC.
Entity Type:Organization
Organization Name:VILLA NORA #2, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:LAZARA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ALMENDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-922-3263
Mailing Address - Street 1:998 WEST 31 ST.
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012
Mailing Address - Country:US
Mailing Address - Phone:305-992-3263
Mailing Address - Fax:
Practice Address - Street 1:998 WEST 31 ST.
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012
Practice Address - Country:US
Practice Address - Phone:305-992-3263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10714310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility