Healthcare Provider Details

I. General information

NPI: 1720281066
Provider Name (Legal Business Name): NEW HOPE A.L.F., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 01/22/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100- 102 NW 55 COURT
MIAMI FL
33126-4914
US

IV. Provider business mailing address

100- 102 NW 55 COURT
MIAMI FL
33126-4914
US

V. Phone/Fax

Practice location:
  • Phone: 305-262-2005
  • Fax: 305-551-2898
Mailing address:
  • Phone: 305-262-2005
  • Fax: 305-551-2898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number8365
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number8365
License Number StateFL

VIII. Authorized Official

Name: JUAN ARAICA RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-991-4758