BA GROUP OF MIAMI, LLC (NPI# 1215582226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215582226 |
| Entity Type | Organization |
| Organization Name | BA GROUP OF MIAMI, LLC |
| Practice Address |
1160 Nw 108th St Miami FL 33168-6032 |
| Mailing Address |
12555 Biscayne Blvd # 914 North Miami FL 33181-2522 |
| Practice Telephone | 7863484771 |
| Mailing Telephone | 7863484771 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | MS. CHYKIMBERLY QUANTEZ BULLARD (OWNER) |
| Authorized Official Telephone | 7863484771 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1160 NW 108TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33168-6032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688304 | Latino Medical Center Iv, Inc | Internal Medicine | 12800-12880 Nww 7th Ave, North Miami, FL 33168 | 2020-08-06 |
| 1649736745 | Marie Aliene Jusma | Nurse Practitioner | 1095 Nw 110th Street, House, Miami, FL 33168 | 2019-02-13 |
| 1053803924 | Gabriela Arguello | Occupational Therapy Assistant | 1160 Nw 140th Ter, Miami, FL 33168 | 2018-06-05 |
| 1235635061 | Gilberto Lezcano | Behavior Technician | 11000 Nw 12 Ave, Miami, FL 33168 | 2018-04-02 |
| 1861996696 | Renuvala LLC | Prosthetic/Orthotic Supplier | 750 Nw 113 St, Miami, FL 33168 | 2018-03-19 |
| 1033654710 | Ariadna Barban | Behavior Technician | 789 Nw 145th. Terrace, Miami, FL 33168 | 2017-01-04 |
| 1225587843 | Nazael Dumay | Nurse Practitioner | 220 Nw 133 Street, Miami, FL 33168 | 2016-09-23 |
| 1205284635 | Francois Pencle | Contractor | 14151 Nw 3rd Ave, Miami, FL 33168 | 2016-05-26 |
| 1588029409 | Leroy Properties of Florida Inc | Assisted Living Facility | 2090 Nw 115 Street, Miami, FL 33168 | 2015-12-18 |
| 1760769681 | Primary Medical Care Center and Urgent Care Clinic, Inc | Clinic/Center | 11500 Nw 7th Ave, Miami, FL 33168 | 2011-11-05 |
| Find all providers in zip 33168 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081915 | A Loving Care Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1250 Nw 72nd St, Miami, FL 33147-6416 | 2018-11-08 |
| 1578011920 | Mauricio Martin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20342 Sw 129th Pl, Miami, FL 33177-5506 | 2016-09-14 |
| 1730560434 | Jesus Group Home LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15504 Sw 104th Ave, Miami, FL 33157-1458 | 2015-06-18 |
| 1841696929 | Dream Team Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3653 Nw 4th Ter, Miami, FL 33125-4073 | 2014-11-17 |
| 1508149931 | Friendly Hearts Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10542 Sw 161st Ave, Miami, FL 33196-4574 | 2011-09-21 |
| 1437459377 | Norland Gardens Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19615 Nw 12th Ct, Miami, FL 33169-3080 | 2010-10-26 |
| 1154518686 | Mactown, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 151 Ne 62nd St, Miami, FL 33138-5926 | 2007-09-28 |
| 1609073725 | Vada Arlene Mertens | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 16 Blvd Sw, Miami, OK 74354 | 2007-07-02 |
| 1568503456 | Mactown, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6250 Ne 1st Pl, Miami, FL 33138-5904 | 2007-02-12 |
| 1417027491 | Baker Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6965 Nw 21st Court, Miami, FL 33147-6961 | 2006-11-08 |
| Find all providers in MIAMI | ||||
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| 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.