MEDICARE: LAOS GROUP HOME CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL12717	FL

General Provider Information

NPI Number	:	1932576964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAOS GROUP HOME CORP

Provider Business Mailing Address
First Line	:	1443 SW 146TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-3260
Country	:	US
Telephone Number	:	786-477-2935
Fax Number	:

Provider Business Practice Location Address
First Line	:	1443 SW 146TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-3260
Country	:	US
Telephone Number	:	786-477-2935
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELDA ISERN
Credential	:
Telephone Number	:	786-477-2935

Provider Enumeration Date	:	08/25/2015
Last Update Date	:	08/25/2015

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1427911163 — TRACY FIELDS JR.
Practice Location Address:

1621 BAY RD APT 901
MIAMI BEACH, FL
33139-3260

Practice Phone: 574-274-1952
Practice Fax:

1013920073 — FLORIDA MOBILE IMAGING SERVICES INC
Practice Location Address:

3260 NW 7TH ST STE 102
MIAMI, FL
33125-4102

Practice Phone: 305-649-0470
Practice Fax: 305-649-0620

1265609853 — ROYAL DESTINY HOME CARE LLC
Practice Location Address:

3260 NW 179TH ST
MIAMI GARDENS, FL
33056-3416

Practice Phone: 305-474-3273
Practice Fax: 305-474-3278

1346407616 — FLORIDA MOBILE IMAGING SERVICES INC
Practice Location Address:

3260 NW 7TH ST STE 102
MIAMI, FL
33125-4102

Practice Phone: 305-649-0470
Practice Fax: 305-649-0620

1922303536 — EDMUNDO L MOLINA M.D P.A
Practice Location Address:

3260 NW 7TH ST # 101
MIAMI, FL
33125-4102

Practice Phone: 305-541-6415
Practice Fax: 305-541-6655

Directions to “LAOS GROUP HOME CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.