Provider Demographics
NPI:1831636216
Name:BEYOND OUR DREAMS ALF, CORP.
Entity Type:Organization
Organization Name:BEYOND OUR DREAMS ALF, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:G
Authorized Official - Last Name:CABALLERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-223-3170
Mailing Address - Street 1:13434 SW 257TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6897
Mailing Address - Country:US
Mailing Address - Phone:305-909-1528
Mailing Address - Fax:855-299-0714
Practice Address - Street 1:13434 SW 257TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-6897
Practice Address - Country:US
Practice Address - Phone:305-909-1528
Practice Address - Fax:855-299-0714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12955310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility