ADULT LEISURE LIVING, INC. (NPI# 1245513993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245513993 |
| Entity Type | Organization |
| Organization Name | ADULT LEISURE LIVING, INC. |
| Practice Address |
15650 W Bunche Park Dr Opa Locka FL 33054-6965 |
| Practice Telephone | 3057052347 |
| Practice Fax Number | 3057052394 |
| Mailing Telephone | 3057052347 |
| Mailing Fax Number | 3057052394 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | WILLIAM TRUSS (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 9548954134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12063 | FL | Nursing & Custodial Care Facilities |
| Street Address |
15650 W BUNCHE PARK DR |
| City | OPA LOCKA |
| State | FL |
| Zip Code | 33054-6965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770148611 | Arc Dialysis North Dade LLC | Clinic/Center | 1986 Opa Locka Blvd, Opa Locka, FL 33054 | 2019-05-07 |
| 1497215735 | Empowering Minds, Inc | Community/Behavioral Health | 13311 Alexandria Dr, Opa Locka, FL 33054 | 2019-03-22 |
| 1366976672 | Center for Family and Child Enrichment Inc. | Community/Behavioral Health | 3999 Northwest 163st, Miami, FL 33054 | 2017-04-13 |
| 1861924748 | Yudeslanni Fernandez Lang | Behavior Technician | 2970 Nw 161 St, Miami, FL 33054 | 2017-03-30 |
| 1811439862 | Ana Alfaro | Behavior Technician | 1155 Kasin St, Opa Locka, FL 33054 | 2016-11-08 |
| 1114376795 | Yanelis Diaz Rodriguez | Behavior Technician | 13920 Nw 22nd Pl, Opa Locka, FL 33054 | 2016-06-06 |
| 1912392986 | Angel Yasiel Ramos | Internal Medicine | 1986 Opa-locka Boulevard, Opa-locka, FL 33054 | 2015-04-06 |
| 1992109409 | Taylor Wilmoth | Specialist/Technologist | 15600 Nw 32nd Avenue, Attn: Taylor Wilmoth, Miami, FL 33054 | 2014-10-13 |
| 1265844997 | J.s Rx Inc | Pharmacy | 1970 Opa Locka Blvd, Opa Locka, FL 33054 | 2014-05-29 |
| 1689877508 | Nuevo Renacer Alf,corp. | Assisted Living Facility | 540 N. Perviz Avenue, Opa Locka, FL 33054 | 2007-06-07 |
| Find all providers in zip 33054 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497156194 | Nuevo Renacer Alf Corp | Assisted Living Facility | 540 N Perviz Ave, Opa Locka, FL 33054-3028 | 2014-09-12 |
| 1811258254 | Ck Group Home, Inc. | Assisted Living Facility | 19431 Nw 23rd Ct, Opa Locka, FL 33056-2653 | 2012-06-01 |
| 1366685489 | Happy Home Health Care LLC | Assisted Living Facility | 2511 Nw 153rd St, Opa Locka, FL 33054-2739 | 2009-04-20 |
| 1457529406 | Amor Sweet Home Inc. | Assisted Living Facility | 3850 Nw 161st St, Opa Locka, FL 33054-6281 | 2008-02-12 |
| 1689877508 | Nuevo Renacer Alf,corp. | Assisted Living Facility | 540 N. Perviz Avenue, Opa Locka, FL 33054 | 2007-06-07 |
| 1144431198 | Vida Sin Fin Alf | Assisted Living Facility | 3921 Nw 179th St, Opa Locka, FL 33055-3408 | 2007-05-24 |
| 1730390501 | Las Flores Care Center II Inc | Assisted Living Facility | 17360 Nw 52nd Ave, Opa Locka, FL 33055-4013 | 2007-05-24 |
| 1730397969 | Lilita Home 2 Alf | Assisted Living Facility | 4503 Nw 203rd Ter, Opa Locka, FL 33055-1243 | 2007-05-20 |
| 1245446210 | Las Flores Care Center, Inc. | Assisted Living Facility | 4960 Nw 188th Ter, Opa Locka, FL 33055-2436 | 2007-05-15 |
| 1114045598 | Annie C Horn | Assisted Living Facility | 17020 Nw 47th Ave, Opa Locka, FL 33055-4265 | 2007-03-26 |
| Find all providers in OPA LOCKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.