FRIENDLY HEARTS GROUP HOME INC (NPI# 1508149931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508149931 |
Entity Type | Organization |
Organization Name | FRIENDLY HEARTS GROUP HOME INC |
Practice Address |
10542 Sw 161st Ave Miami FL 33196-4574 |
Practice Telephone | 3053829646 |
Practice Fax Number | 3053829646 |
Mailing Telephone | 3053829646 |
Mailing Fax Number | 3053829646 |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |
Authorized Official Name | ALYSNE OLIVARES (VICE-PRESIDENT) |
Authorized Official Telephone | 7862539646 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11-988-GH | FL | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003928100 | 05 |
Street Address |
10542 SW 161ST AVE |
City | MIAMI |
State | FL |
Zip Code | 33196-4574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285121418 | Alene Llorens | Behavior Technician | 10542 Sw 161st Ave, Miami, FL 33196-4574 | 2018-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497367825 | Lian Linares Izquierdo | Behavior Technician | 11571 Sw 110th Ter, Miami, FL 33196 | 2020-08-18 |
1780208827 | Ohama Fuster | Assistant Behavior Analyst | 15560sw 111ter., Miami, FL 33196 | 2020-06-04 |
1346870516 | Belkis Leonor Rodriguez | Assistant Behavior Analyst | 9798 Sw 147 Pl, Miami, FL 33196 | 2020-01-16 |
1386109692 | Hercule Lamur | Family Medicine | 14768 Sw 158 Path, Miami, FL 33196 | 2019-01-31 |
1457824823 | Kelsie Marie Riveron | Student in an Organized Health Care Education/Training Program | 16461 Sw 99 St, Miami, FL 33196 | 2019-01-08 |
1629545330 | Irene Roldan | Nurse Practitioner | 15971 Sw 138 Ter, Miami, FL 33196 | 2018-10-31 |
1114414240 | Daniel Gil De Lamadrid | Student in an Organized Health Care Education/Training Program | 15955 Sw 96 Street, Suite 200, Miami, FL 33196 | 2018-04-14 |
1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
1174027247 | Juntos Behavioral & Mental Benefits Corp. | Behavioral Analyst | 9532 Sw 167th Ave, Miami, FL 33196 | 2018-03-22 |
1487165239 | Medhealth Billing Services LLC | Contractor | 14790 N Kendall Dr. #961595, Miami, FL 33196 | 2017-10-19 |
Find all providers in zip 33196 |
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
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1891396461 | Hillendale Cares LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27357 Frampton Ave, Brooksville, FL 34602-7306 | 2020-11-02 |
1699375485 | Violange Joseph | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3310 Sw Frankford St, Port St Lucie, FL 34953-4937 | 2020-10-29 |
1407468986 | Winchester Oaks Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 871 Winchester St, Daytona Beach, FL 32114-1977 | 2020-08-17 |
1609486844 | Aclaris Care Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7711 N Rome Ave, Tampa, FL 33604-4615 | 2020-08-03 |
1386253987 | Rosa Estela Companioni | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6704 Commodore Way, Tampa, FL 33615-5810 | 2020-07-29 |
1972121192 | Victorian Manor, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11150 Sw 42nd Ct, Davie, FL 33328-2140 | 2020-07-14 |
1881233716 | Elizabeth Stapleton | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4628 25th St Sw, Lehigh Acres, FL 33973-6161 | 2019-12-23 |
1689217887 | Angelchild Homecare Corp Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1641 Sunset Point Rd, Clearwater, FL 33755-1657 | 2019-10-21 |
1659927325 | Coby Cares Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1754 Barnstable Rd, Wellington, FL 33414-6143 | 2019-08-17 |
1518520725 | Freshen Schammua Docile | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9097 Sw 4th St, Boca Raton, FL 33433-4607 | 2019-04-15 |
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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.