EPWORTH VILLAGE RETIREMENT COMMUNITY
NPI 1225450604
Assisted Living Facility in Hialeah, FL

Active since January 20, 2014CLIA 10D2209524 · Waiver
5300 W 16TH AVE, HIALEAH, FL 33012(305) 556-3500(305) 821-1407 Get Directions Write a Review

NPPES record last updated: January 20, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Epworth Village Retirement Community NPPES

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

EPWORTH VILLAGE RETIREMENT COMMUNITY (NPI 1225450604) is a healthcare organization registered as an assisted living facility in Hialeah, Florida and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists William Conol, Accounting Director, as its authorized official.

NPPES Registry Identity

NPI1225450604
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameALDERSGATE RETIREMENT INC.
Location Address5300 W 16TH AVEHialeah, FL 33012-2104
Mailing Address5300 W 16th AveHialeah, FL 33012-2104 · (305) 556-3500 · Fax (305) 821-1407
Fax(305) 821-1407
Organization SubpartNo
Authorized OfficialWilliam ConolAccounting Director · (305) 556-3500
Enumeration DateJanuary 20, 2014
NPI 1225450604 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 · AL5839
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.

5300 W 16TH AVE, Hialeah, FL 33012

Other Names 1

Doing Business AsEpworth Village Retirement Community

Other Identifiers 1

Medicaid003136100FL

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 10D2209524

Epworth Village Retirement Community · Hialeah, FL
Active · expires Jan 13, 2027
CLIA Number10D2209524
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorBrian M. Cento
Laboratory Phone(305) 556-3500
Laboratory LocationEpworth Village Retirement CommunityMccray Building 5300 W 16th Ave, Hialeah, FL 33012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Skilled Nursing Facility
5300 W 16TH AVE
HIALEAH, FL 33012
Speech-Language Pathologist
5300 W 16TH AVE
HIALEAH, FL 33012
Occupational Therapist
5300 W 16TH AVE
HIALEAH, FL 33012
Health Maintenance Organization
5300 W 16TH AVE, 106
HIALEAH, FL 33012
Assisted Living Facility
5300 W 16TH AVE
HIALEAH, FL 33012
Family Medicine
5300 W 16TH AVE
HIALEAH, FL 33012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225450604, enumerated as an "organization" on January 20, 2014.

The provider is located at 5300 W 16TH AVE HIALEAH, FL 33012 and the phone number is (305) 556-3500.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.