Provider Demographics
NPI:1770135956
Name:R & M HOME, LLC
Entity type:Organization
Organization Name:R & M HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-562-0972
Mailing Address - Street 1:14201 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-6346
Mailing Address - Country:US
Mailing Address - Phone:305-562-0972
Mailing Address - Fax:786-221-2641
Practice Address - Street 1:14201 JACKSON ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-6346
Practice Address - Country:US
Practice Address - Phone:305-562-0972
Practice Address - Fax:786-221-2641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility