SUAREZ GROUP HOME (NPI# 1750846218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750846218 |
| Entity Type | Organization |
| Organization Name | SUAREZ GROUP HOME |
| Practice Address |
17131 Nw 57th Ave Miami Gardens FL 33055-3923 |
| Practice Telephone | 3056204527 |
| Practice Fax Number | 3056271975 |
| Mailing Telephone | 3056204527 |
| Mailing Fax Number | 3056271975 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | RUBEN SUAREZ (PRESIDENT) |
| Authorized Official Telephone | 3053457974 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 687342196 | 05 | |
| FL | 680712796 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1488 Nw 101st St, Miami, FL 331471853 | 7865425455 | 7865425577 |
| 15815 Nw 47th Ave, Opa Locka, FL 330546074 | 3056241710 | 3056232767 |
| 4688 Nw 164th St, Opa Locka, FL 330546010 | 3056216042 | 3056216043 |
| 5433 Nw 198th Ter, Miami Gardens, FL 330556171 | 3056202080 | 3056241232 |
| Street Address |
17131 NW 57TH AVE |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33055-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831654300 | Ruben G Suarez | Adult Companion | 17131 Nw 57th Ave, Miami Gardens, FL 33055-3923 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684240 | Alina De Leon Calvo | Behavior Technician | 18001nw 47 Ct, Miami Gardens, FL 33055 | 2020-03-13 |
| 1871133124 | Yoanna Gasca | Behavior Technician | 5380 Nw 201st Terr Lot 326, Miami Gardens, FL 33055 | 2020-01-14 |
| 1477107936 | Connie Reese-walker | Social Worker | 19100 Nw 51stave, Miami Gardens, FL 33055 | 2019-08-01 |
| 1104483981 | Yordano Santos | Behavior Technician | 4528 Nw 191 St, Miami Gardens, FL 33055 | 2019-05-28 |
| 1508420985 | Jackeline Hinojosa Leonard | Behavior Technician | 17101 Nw 57th Ave Apt 215, Miami Gardens, FL 33055 | 2019-04-30 |
| 1023535788 | Ashanty S Campbell | Behavior Technician | 5319 Nw 189th St, Miami Gardens, FL 33055 | 2017-08-24 |
| 1326560988 | Gabriela Cordoba | Behavioral Analyst | 21351 Nw 39 Ave., Miami Gardens, FL 33055 | 2017-07-14 |
| 1639609449 | Ysabel Cristina Borroto Merlo | Behavior Technician | 18927 Nw 45 Ave, Miami Gardens, FL 33055 | 2017-06-14 |
| 1164956447 | Yolanda Cruz | Behavior Technician | 5146 Nw 199 Lane, Miami Gardens, FL 33055 | 2017-04-13 |
| 1689114613 | Viviana Ramirez | Behavior Technician | 18605 Nw 52nd Path, Miami Gardens, FL 33055 | 2017-02-23 |
| Find all providers in zip 33055 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790181279 | Latiaa T Lee | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15830 Nw 28th Ct, Miami Gardens, FL 33054-2251 | 2014-11-12 |
| 1700208378 | Blue Lagoon Group Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21100 Nw 28th Ct, Miami Gardens, FL 33056-1105 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568294 | Open Skyes Family Care Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5600 Sw 36th St, West Park, FL 33023-6106 | 2020-11-08 |
| 1124628565 | Rachelle Homehealth Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8539 Gate Pkwy W Unit 9134, Jacksonville, FL 32216-1037 | 2020-10-26 |
| 1497368203 | Careola LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3248 Landing Vw, Tavares, FL 32778-2035 | 2020-08-31 |
| 1982218764 | The Home W/ Guiding Hands | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1256 N Florida Ave, Tarpon Springs, FL 34689-2004 | 2020-08-31 |
| 1306459359 | Joy-little Enterprise LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9148 Ridge Blvd, Jacksonville, FL 32208-1265 | 2020-08-28 |
| 1720691082 | Ohana In Home Senior Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 421 W Georgia St, Tallahassee, FL 32301-1011 | 2020-08-26 |
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1831700020 | Mikerline Lyns | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10941 Winding Creek Ln, Boca Raton, FL 33428-5664 | 2020-08-12 |
| 1902416993 | Faith Care Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3800 Inverrary Blvd Ste 408d, Lauderhill, FL 33319-4359 | 2020-08-04 |
| 1063020188 | Kristine Kaiser Cravener | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1095 Beckman Dr, South Daytona, FL 32119-2499 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33055 |
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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.