MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC. (NPI# 1821134941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821134941 |
| Entity Type | Organization |
| Organization Name | MIAMI CEREBRAL PALSY RESIDENTIAL SERVICES, INC. |
| Other Organization Name | 80TH STREET FACILITY |
| Practice Address |
11750 Sw 80th St Miami FL 33183-4819 |
| Practice Telephone | 3052745014 |
| Practice Fax Number | 3052747056 |
| Mailing Telephone | 3052745014 |
| Mailing Fax Number | 3052747056 |
| 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 | 4052096 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| 80th Street Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386780419 | Miami Cerebral Palsy Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 14400 Sw 32nd St, Miami, FL 33175-6545 | 2007-01-29 |
| Street Address |
11750 SW 80TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662873 | Jorge Carlos Castro | Nurse Practitioner | 11750 Sw 80th St, Miami, FL 33183 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| 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 |
| 1386780419 | Miami Cerebral Palsy Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 14400 Sw 32nd St, Miami, FL 33175-6545 | 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 |
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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.