Provider Demographics
NPI:1851758676
Name:WINSTON'S ALF
Entity Type:Organization
Organization Name:WINSTON'S ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:T
Authorized Official - Last Name:MOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-316-3187
Mailing Address - Street 1:6951 NW 5TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-3905
Mailing Address - Country:US
Mailing Address - Phone:786-316-3187
Mailing Address - Fax:
Practice Address - Street 1:6951 NW 5TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-3905
Practice Address - Country:US
Practice Address - Phone:786-316-3187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL127233104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015828800Medicaid