MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC. (NPI# 1386780419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386780419 |
| Entity Type | Organization |
| Organization Name | MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC. |
| Other Organization Name | BRADDOCK FACILITY |
| Practice Address |
14400 Sw 32nd St Miami FL 33175-6545 |
| Practice Telephone | 3052209599 |
| Practice Fax Number | 3052209096 |
| Mailing Telephone | 3052209599 |
| Mailing Fax Number | 3052209096 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARTA E. MORIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3055990899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 4062096 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Braddock Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821134941 | Miami Cerebral Palsy Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 11750 Sw 80th St, Miami, FL 33183-4819 | 2007-01-29 |
| Street Address |
14400 SW 32ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-6545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852809 | Headley Junior Ricky Walters | Registered Nurse | 14400 Sw 32nd St, Miami, FL 33175-6545 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326189192 | Hope Housing of Miami, Inc | Intermediate Care Facility, Mentally Retarded | 603 3rd Ave Nw, Miami, OK 74354-5704 | 2007-02-12 |
| 1689711434 | Miami Cerebral Palsy Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 7100 Sw 122nd Ave, Miami, FL 33183-2608 | 2007-01-31 |
| 1417093543 | Miami Cerebral Palsy Residential Facility, Inc. | Intermediate Care Facility, Mentally Retarded | 11801 Nw 2nd St, Miami, FL 33182-1344 | 2007-01-29 |
| 1821134941 | Miami Cerebral Palsy Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 11750 Sw 80th St, Miami, FL 33183-4819 | 2007-01-29 |
| 1083760102 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 5436 Sw 148th Ct, Miami, FL 33185-4030 | 2007-01-25 |
| 1285788984 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 10521 Sw 146th Pl, Miami, FL 33186-2981 | 2007-01-22 |
| 1538213392 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 14935 Sw 145th St, Miami, FL 33196-2317 | 2007-01-22 |
| 1376602516 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 13350 Sw 119th St, Miami, FL 33186-4572 | 2006-12-06 |
| 1255490405 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 9790 Sw 157th Ter, Miami, FL 33157-1757 | 2006-12-06 |
| 1568530764 | Sunrise Community, Inc. | Intermediate Care Facility, Mentally Retarded | 3210 Sw 138th Ct, Miami, FL 33175-7200 | 2006-12-04 |
| 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.