Provider Demographics
NPI:1902215353
Name:A PLUS SENIOR HOME INC
Entity Type:Organization
Organization Name:A PLUS SENIOR HOME INC
Other - Org Name:A PLUS SENIOR HOME INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINERVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-310-4239
Mailing Address - Street 1:41 SW 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2805
Mailing Address - Country:US
Mailing Address - Phone:305-310-4239
Mailing Address - Fax:305-503-7576
Practice Address - Street 1:41 SW 68TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2805
Practice Address - Country:US
Practice Address - Phone:305-310-4239
Practice Address - Fax:305-503-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10466310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000673300Medicaid