SPIRIT RESIDENTIAL GROUP HOME (NPI# 1144759531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144759531 |
| Entity Type | Organization |
| Organization Name | SPIRIT RESIDENTIAL GROUP HOME |
| Other Organization Name | SPIRIT RESIDENTIAL GROUP HOME |
| Practice Address |
17311 N.w 33 Ct Miami Gardens FL 33056 |
| Mailing Address |
17311 Nw 33rd Ct Miami Gardens FL 33056-4218 |
| Practice Telephone | 3056234618 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | LOLA BAIN (PRESIDENT) |
| Authorized Official Telephone | 3056234618 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Spirit Residential Group Home | Doing Business As Name - Organization |
| Street Address |
17311 N.W 33 CT |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475898 | Dory Ailec Abellon Mederos | Behavior Technician | 3270 Nw 208 St, Miami Garden, FL 33056 | 2018-11-08 |
| 1356867121 | Sonya Hunter | Case Management | 2200 Nw 193rd Terrace, Miami, FL 33056 | 2017-08-14 |
| 1942744735 | Medicode Network Solutions | Durable Medical Equipment & Medical Supplies | 16805 Nw 24 Ct, Miami, FL 33056 | 2016-12-13 |
| 1114317013 | Mental Health Counseling of South Florida LLC | Social Worker | 18656 Nw 47 Ave, #102 F, Miami Gardens, FL 33056 | 2015-01-29 |
| 1568713956 | A Sweet Adult Care Alf, Inc | Assisted Living Facility | 2751 Nw 209th Terra, Miami Gardens, FL 33056 | 2012-09-25 |
| 1093006660 | Gloria Jean Roan | Respiratory Therapist, Registered | 2320 Nw 187th Street, Miami Garden, FL 33056 | 2011-04-29 |
| 1891091690 | Barry M Gillman | Chiropractor | 17325 Nw 27th Avenue, Suite 111, Miami, FL 33056 | 2011-01-27 |
| 1245363381 | Wal-mart Stores, Inc. | Technician/Technologist | 19501 Northwest 27th Ave., Miami Gardens, FL 33056 | 2007-03-14 |
| 1689719213 | Great Care Pharmacy Inc | Pharmacy | 17560 Nw 27 Ave, Suite 107, Miami Gardens, FL 33056 | 2007-02-21 |
| 1891859575 | Center for Family and Child Enrichment, Inc | Counselor | 1825 Nw 167th St, Suite #102, Opa Locka, FL 33056 | 2006-12-20 |
| Find all providers in zip 33056 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891323754 | Riverside Group Home, Inc. | Clinic/Center | 20501 Nw 33rd Ct, Miami Gardens, FL 33056-1345 | 2020-03-27 |
| 1073144713 | Carami Healthcare LLC | Clinic/Center | 20414 Nw 19th Ave, Miami Gardens, FL 33056-5039 | 2020-01-31 |
| 1255962304 | Butterfly Behavior Services LLC | Clinic/Center | 17411 Nw 47th Ave, Miami Gardens, FL 33055-3635 | 2020-01-28 |
| 1851941181 | Vives Healthcare Services, Inc. | Clinic/Center | 4961 Nw 181st Ter, Miami Gardens, FL 33055-2916 | 2019-09-18 |
| 1225680101 | Fairlawns Residential Home Group LLP | Clinic/Center | 911 Nw 198th St, Miami Gardens, FL 33169-3012 | 2019-07-11 |
| 1235790676 | Barbs Place Inc. | Clinic/Center | 3131 Nw 174th St, Miami Gardens, FL 33056-4040 | 2019-06-26 |
| 1881153534 | Hilda V Marrero | Clinic/Center | 4315 Nw 198th St, Miami Gardens, FL 33055-1831 | 2019-03-12 |
| 1801194378 | Marleni Sanchez Nursing Corp | Clinic/Center | 4955 Nw 199th St, #8, Miami Gardens, FL 33055-1778 | 2011-03-08 |
| 1225641921 | Recoop Nurse Registry LLC | Clinic/Center | 18425 Nw 2nd Ave Ph 5, Miami Gardens, FL 33169-4524 | 2020-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33056 |
Please comment or provide details below to improve the information on SPIRIT RESIDENTIAL GROUP HOME.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.