Provider Demographics
NPI:1922397348
Name:HOME SWEET HOME OF BISCAYNE.LLC
Entity Type:Organization
Organization Name:HOME SWEET HOME OF BISCAYNE.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:305-796-5840
Mailing Address - Street 1:931 NE 82ND ST
Mailing Address - Street 2:MIAMI
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-4163
Mailing Address - Country:US
Mailing Address - Phone:305-796-5840
Mailing Address - Fax:305-846-9731
Practice Address - Street 1:931 NE 82ND ST
Practice Address - Street 2:MIAMI
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-4163
Practice Address - Country:US
Practice Address - Phone:305-796-5840
Practice Address - Fax:305-846-9731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11923310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility