Provider Demographics
NPI:1922980242
Name:A GARDEN OF HOPE ASSISTED LIVING, INC.
Entity type:Organization
Organization Name:A GARDEN OF HOPE ASSISTED LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-302-5522
Mailing Address - Street 1:8730 SW 127TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-5231
Mailing Address - Country:US
Mailing Address - Phone:305-666-5654
Mailing Address - Fax:305-666-6751
Practice Address - Street 1:8730 SW 127TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-5231
Practice Address - Country:US
Practice Address - Phone:305-666-5654
Practice Address - Fax:305-666-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14016OtherAHCA