HOMESTEAD MANOR
NPI 1194148023
Assisted Living Facility in Miami, FL

Active since January 29, 2014CLIA 10D0916182 · Waiver
10850 SW 113TH PL, MIAMI, FL 33176(305) 270-7043 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Homestead Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMESTEAD MANOR (NPI 1194148023) is a healthcare organization registered as an assisted living facility in Miami, Florida and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Jacob Shaham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194148023
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHELEN HOMES OF SOUTH DADE
Location Address10850 SW 113TH PLMiami, FL 33176-3227
Mailing Address1330 Nw 1st AveHomestead, FL 33030-4212 · (305) 248-0271
Organization SubpartNo
Authorized OfficialJacob ShahamCeo · (305) 270-7000
Enumeration DateJanuary 29, 2014
NPI 1194148023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · AL8995
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
10850 SW 113TH PL, Miami, FL 33176

Other Names 1

Doing Business AsHomestead Manor

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0916182

Homestead Manor · Homestead, FL
Active · expires Jun 16, 2028
CLIA Number10D0916182
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorSam Saleh
Laboratory Phone(305) 248-0271
Laboratory LocationHomestead Manor1330 NW 1st Ave, Homestead, FL 33030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
10850 SW 113TH PL, SUITE #112
MIAMI, FL 33176
Home Health
10850 SW 113TH PL
MIAMI, FL 33176
Dermatology
10850 SW 113TH PL
MIAMI, FL 33176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Helen Homes Of South Dade's NPI number?

The NPI number for Helen Homes Of South Dade is 1194148023. It was assigned to this organization in the NPPES registry on January 29, 2014. The provider is doing business as Homestead Manor.

Where is Helen Homes Of South Dade located?

Helen Homes Of South Dade is located at 10850 SW 113th Pl, Miami, FL 33176. The listed phone number is (305) 270-7043.

What is Helen Homes Of South Dade's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Helen Homes Of South Dade hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0916182) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Helen Homes Of South Dade was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.