Provider Demographics
NPI:1821666991
Name:MELANIE'S ALF, INC.
Entity Type:Organization
Organization Name:MELANIE'S ALF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:OMAYDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-744-2497
Mailing Address - Street 1:6415 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3710
Mailing Address - Country:US
Mailing Address - Phone:786-287-2359
Mailing Address - Fax:305-456-8826
Practice Address - Street 1:6415 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3710
Practice Address - Country:US
Practice Address - Phone:786-287-2359
Practice Address - Fax:305-456-8826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11801OtherAHCA