Organization Active NPI

Esther'S Group Home Corp.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • N Miami Beach, FL
National Provider Identifier
1003172073
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
11255DH Issued in GA
Legal business name
ESTHER'S GROUP HOME CORP.
Practice address
20115 Highland Lakes Blvd
N Miami Beach, FL 33179-2813
Phone
(305) 931-8023
Fax
(305) 792-7449
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Esther R Delva, RN
Title
Owner
Phone
(305) 931-8023

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 11255DH GA Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 11255DH FL

Addresses

Primary practice location

20115 Highland Lakes Blvd
N Miami Beach, FL 33179-2813

Mailing address

20115 Highland Lakes Blvd
N Miami Beach, FL 33179-2813
Phone (305) 931-8023

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1003172073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20115 HIGHLAND LAKES BLVD",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792813",
            "telephone_number": "305-931-8023",
            "fax_number": "305-792-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20115 HIGHLAND LAKES BLVD",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792813",
            "telephone_number": "305-931-8023",
            "fax_number": "305-792-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHER'S GROUP HOME CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "DELVA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-931-8023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "11255DH",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "11255DH",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.