MEDICARE: SWEET RETIREMENT 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

General Provider Information

NPI Number	:	1255748711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET RETIREMENT ALF INC.

Provider Business Mailing Address
First Line	:	4495 N.W. 185 STREET
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055
Country	:	US
Telephone Number	:	786-440-5158
Fax Number	:	786-440-5158

Provider Business Practice Location Address
First Line	:	4495 N.W. 185 STREET
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055
Country	:	US
Telephone Number	:	786-440-5158
Fax Number	:	786-440-5158

Authorized Official
Title or Position	:	OWNER
Name	:	ANISET CABRERAS
Credential	:
Telephone Number	:	786-587-8113

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	07/22/2020

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