HOMESTEAD MANOR
NPI 1194148023
Assisted Living Facility in Miami, FL
- Organization
- Assisted Living Facility
- CLIA Number: 10D0916182
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 06-16-2026
About HOMESTEAD MANOR
This page provides the complete NPI Profile along with additional information for Homestead Manor, a provider established in Miami, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1194148023 assigned on January 2014. The practitioner's primary taxonomy code is 310400000X with license number AL8995 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Homestead Manor. The authorized official of this NPI record is Jacob Shaham (Ceo)
- NPI
- 1194148023 Verify this NPI
- Provider Legal Name
- HELEN HOMES OF SOUTH DADE
- Other Organization Name
- HOMESTEAD MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10850 SW 113TH PL MIAMI, FL 33176
- Location Phone
- (305) 270-7043
- Mailing Address
- 1330 NW 1ST AVE HOMESTEAD, FL 33030
- Mailing Phone
- (305) 248-0271
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-29-2014
- Last Update Date
- 01-29-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AL8995
- License State
- FL
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0916182
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- June 17, 2024
- Certificate Expiration Date
- June 16, 2026
- Laboratory Director
- SAM SALEH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Homestead Manor to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194148023, enumerated as an "organization" on January 29, 2014.
The provider is located at 10850 SW 113TH PL MIAMI, FL 33176 and the phone number is (305) 270-7043.
Assisted Living Facility with taxonomy code 310400000X.
