JESUS GROUP HOME LLC.


Address: 15504 Sw 104th Ave, Miami, FL 33157-1458
Phone: 7865922281

JESUS GROUP HOME LLC. (NPI# 1730560434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730560434
Entity Type Organization
Organization Name JESUS GROUP HOME LLC.
Practice Address 15504 Sw 104th Ave
Miami
FL 33157-1458
Practice Telephone 7865922281
Mailing Telephone 7865922281
Enumeration Date 2015-06-18
Last Update Date 2015-06-18
Authorized Official Name ZULY MARTINEZ (CEO)
Authorized Official Telephone 7862666852
Authorized Official Credential HHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 15504 SW 104TH AVE
City MIAMI
State FL
Zip Code 33157-1458

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1891283297 Arianna Michelle Endara Occupational Therapist 10920 Sw 186th Street, Miami, FL 33157 2018-05-01
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1033635438 Gabriela Deschamps Behavior Technician 15385 S Dixie Hwy, Apt 4, Miami, FL 33157 2017-08-17
1811411598 Rebeca Molina De Tamayo Behavior Technician 9507 Sw 160th Street, Suite 250, Miami, FL 33157 2017-08-03
1194249912 Family Love Behavioral Health Care LLC Behavioral Analyst 18901 Sw 106 Avenue, Suite A-227, Miami, FL 33157 2017-08-02
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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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City MIAMI
Zip Code 33157

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Dataset Information

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.

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