Provider Demographics
NPI:1447871868
Name:CHELY'S CARE ALF INC.
Entity type:Organization
Organization Name:CHELY'S CARE ALF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:YENISEIS
Authorized Official - Middle Name:
Authorized Official - Last Name:UBEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-624-1806
Mailing Address - Street 1:10841 CORAL REEF DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1327
Mailing Address - Country:US
Mailing Address - Phone:786-245-0733
Mailing Address - Fax:850-583-7863
Practice Address - Street 1:10841 CORAL REEF DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1327
Practice Address - Country:US
Practice Address - Phone:786-245-0733
Practice Address - Fax:850-583-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility