MEDICARE: HOME AWAY FROM HOME ALF

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	AL10697	FL

General Provider Information

NPI Number	:	1518122696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME AWAY FROM HOME ALF

Provider Business Mailing Address
First Line	:	2660 SW 69TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2965
Country	:	US
Telephone Number	:	305-663-6979
Fax Number	:

Provider Business Practice Location Address
First Line	:	2660 SW 69TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2965
Country	:	US
Telephone Number	:	305-663-6979
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CLARA MAYTIN
Credential	:
Telephone Number	:	305-609-6551

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	07/28/2008

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

1851601546 — HOME AWAY FROM HOME
Practice Location Address:

2660 SW 69TH AVE
MIAMI, FL
33155-2965

Practice Phone: 305-609-6551
Practice Fax:

1508263682 — MS. GEMA YUDIT DER ROHE-BORGHESE LICENSED CLINICAL SO
Practice Location Address:

2965 SW 16TH ST
MIAMI, FL
33145-1143

Practice Phone: 305-898-5157
Practice Fax:

1164933818 — NORCI FRAGA
Practice Location Address:

2965 NW 101ST ST
MIAMI, FL
33147-1673

Practice Phone: 786-357-4201
Practice Fax:

1861906000 — MARGARITA DIAZ
Practice Location Address:

2965 WASHINGTON ST
MIAMI, FL
33133-3855

Practice Phone: 305-323-0380
Practice Fax: 305-742-2190

1194220905 — ENRIQUE BOSCH
Practice Location Address:

2965 SW 18TH ST , APT 301
MIAMI, FL
33145-3240

Practice Phone: 561-255-6529
Practice Fax:

Directions to “HOME AWAY FROM HOME ALF ” 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.