Healthcare Provider Details

I. General information

NPI: 1033839311
Provider Name (Legal Business Name): ALLARIAN REHABILITATION & SENIOR LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 02/20/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5345 W 18TH AVE
HIALEAH FL
33012-3301
US

IV. Provider business mailing address

1105 E COUNTY LINE RD STE 201
LAKEWOOD NJ
08701-2122
US

V. Phone/Fax

Practice location:
  • Phone: 305-290-3801
  • Fax:
Mailing address:
  • Phone: 973-285-2893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BLIMI AVIV
Title or Position: DIRECTOR OF AR
Credential:
Phone: 973-285-2893