A GUARDIAN GROUP HOME (NPI# 1760780753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760780753 |
| Entity Type | Organization |
| Organization Name | A GUARDIAN GROUP HOME |
| Other Organization Name | AGGHINC |
| Practice Address |
9715 Sw 73rd St Miami FL 33173-4625 |
| Practice Telephone | 3052553731 |
| Practice Fax Number | 3052342039 |
| Mailing Telephone | 3052553731 |
| Mailing Fax Number | 3052342039 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | MRS. VENUS PEREZ (OWNER) |
| Authorized Official Telephone | 7864995580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11-658-GH | FL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| agghinc | Other Name - Individual/Organization |
| Street Address |
9715 SW 73RD ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| 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 |
|---|---|---|---|---|
| 1851933493 | Natasha Joseph | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1281 Nw 143rd St, Miami, FL 33167-1213 | 2019-10-15 |
| 1811454275 | Miami Quality Care Educational Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3155 Sw 19th St, Miami, FL 33145-1927 | 2019-02-21 |
| 1265948392 | Eureka Group Home, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14830 Sw 184th St, Miami, FL 33187-1719 | 2017-12-27 |
| 1851750558 | Freire's Group Apd Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12900 Sw 25th Ter, Miami, FL 33175-1850 | 2016-02-23 |
| 1295127793 | Angel Group Home Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21321 Sw 128th Ct, Miami, FL 33177-7421 | 2015-02-21 |
| 1215350764 | Care Trust Research Institute, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 Nw 59th St, Miami, FL 33142-2519 | 2014-02-03 |
| 1346670825 | Mareas Villiage Care & Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2420 Nw 104th St, Miami, FL 33147-1235 | 2013-11-19 |
| 1831522853 | Loyatly Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7515 Sw 30th Street, Miami, FL 33155 | 2013-08-13 |
| 1679918791 | Rosalie Group Home of Miami Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1520 Nw 84th St, Miami, FL 33147-4332 | 2013-05-02 |
| 1770864555 | Advanced Care Professional,inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4633 Sw 13th Ter, Miami, FL 33134-2730 | 2011-09-07 |
| 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.