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NPI 1346566296ActiveOrganization· Assisted Living Facility· Miami Gardens, FL

Assisted Living Facility in Miami Gardens, Florida, registered in NPPES in April 2010. The authorized official on file is Cornelia Wallace, LICENSE AFL, Director Of Assisting Living.

Overview

NPI1346566296
StatusActive
Entity typeOrganization
NPI issuedApr 18, 2010
Last updated in NPPESApr 18, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X—FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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