DELUXE LIFE MEDICAL GROUP CORP (NPI# 1861007346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861007346 |
Entity Type | Organization |
Organization Name | DELUXE LIFE MEDICAL GROUP CORP |
Practice Address |
4017 Sw 152nd Ave Miami FL 33185-5919 |
Practice Telephone | 7864095295 |
Practice Fax Number | 7867037908 |
Mailing Telephone | 7864095295 |
Mailing Fax Number | 7867037908 |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-11 |
Authorized Official Name | DOMINGO MORELL (V- PRESIDENT) |
Authorized Official Telephone | 3058511260 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
4017 SW 152ND AVE |
City | MIAMI |
State | FL |
Zip Code | 33185-5919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376155705 | Yadisne Barrera | Behavior Technician | 15000 Sw 42 Terra, Miami, FL 33185 | 2020-08-18 |
1619515525 | Dairelys Mejia | Behavior Technician | 16636 Sw 47 Terra, Miami, FL 33185 | 2019-12-11 |
1750868535 | Abuelas Retirement Home, Inc. | Assisted Living Facility | 4257 Sw 154th Ct, Miami, FL 33185 | 2018-07-24 |
1831683812 | Rosa Yanet Manzano | Nurse Practitioner | 15549 Sw 32 Terrace, Miami, FL 33185 | 2018-06-21 |
1124518527 | Odalis Aragon | Behavior Technician | 3090 Sw 149th Ave, Miami, FL 33185 | 2018-05-11 |
1649777269 | Dairy Torres | Behavior Technician | 4411 Sw 163rd Psge, Miami, FL 33185 | 2018-04-10 |
1629572912 | Pedro Jose Molina | Nurse Practitioner | 3481 Sw 152 Pl, Miami, FL 33185 | 2018-03-21 |
1043720519 | Elibel Barbara Atala | Behavior Technician | 15356 Sw 43rd Ter, Miami, FL 33185 | 2017-10-10 |
1346768314 | Ilineis Gonzalez | Behavioral Analyst | 14932 Sw 30th Ter, Miami, FL 33185 | 2017-08-30 |
1306371414 | Casa Del Sol Adult Day Care, LLC | Clinic/Center | 14770 Sw 26th Street, Suite 102-103, Miami, FL 33185 | 2017-04-26 |
Find all providers in zip 33185 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
1669089892 | Dayspring Treatment Center LLC | Clinic/Center | 240 Nw 183rd St, Miami, FL 33169-4462 | 2020-10-01 |
1790392892 | Salutem Medical Group, LLC | Clinic/Center | 13701 Sw 88th St Ste 306a, Miami, FL 33186-1309 | 2020-09-23 |
1013522945 | Max Community Wellness Center Inc | Clinic/Center | 10300 Sunset Dr Ste 164, Miami, FL 33173-3002 | 2020-09-08 |
1275147936 | Heaven Community Mental Health, LLC | Clinic/Center | 9254 Sw 40th St, Miami, FL 33165-4151 | 2020-09-01 |
1861002362 | E & P Behavior Services LLC | Clinic/Center | 12039 Sw 132nd Ct Unit 4-5, Miami, FL 33186-4783 | 2020-08-09 |
1699384248 | Fiesta Adult Center LLC | Clinic/Center | 7816 Ne 2nd Ave, Miami, FL 33138-4805 | 2020-07-29 |
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.