MEDICARE: MARLA GROVE ALF INC

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	AL12009	FL

General Provider Information

NPI Number	:	1053693382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARLA GROVE ALF INC

Provider Business Mailing Address
First Line	:	3705 SW 1ST AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3909
Country	:	US
Telephone Number	:	786-344-9220
Fax Number	:

Provider Business Practice Location Address
First Line	:	3705 SW 1ST AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3909
Country	:	US
Telephone Number	:	786-344-9220
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ELIEL REYES
Credential	:
Telephone Number	:	786-344-9220

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	09/13/2011

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

1871641274 — DR. PAUL SHLUGMAN DC
Practice Location Address:

3909 NE 163RD ST # 113113-A
NORTH MIAMI BEACH, FL
33160-4126

Practice Phone: 786-797-2412
Practice Fax:

1366631434 — FLORIDA NURSES HOME HEALTH AGENCY INC
Practice Location Address:

3909 NE 163RD ST STE 218
NORTH MIAMI BEACH, FL
33160-4126

Practice Phone: 305-432-3572
Practice Fax: 786-363-9051

1487059218 — ROLANDA ANDRE
Practice Location Address:

13100 NE 3RD CT
NORTH MIAMI, FL
33161-3909

Practice Phone: 954-446-5638
Practice Fax:

1083150189 — MARTINA MARIA DUPEIRON ALVAREZ
Practice Location Address:

811 NW 32ND CT
MIAMI, FL
33125-3909

Practice Phone: 786-352-0810
Practice Fax:

1023528478 — JULIO FERNANDEZ
Practice Location Address:

3909 NE 163RD ST STE 303
NORTH MIAMI BEACH, FL
33160-4126

Practice Phone: 305-871-3601
Practice Fax:

Directions to “MARLA GROVE ALF INC ” 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 © 2007-2025 (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.