Michael Bannister Adult Family Care Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

6905352 Issued in FL

Legal business name

MICHAEL BANNISTER ADULT FAMILY CARE HOME

Practice address

14636 SW 95TH LN
Miami, FL 33186-1040

Phone

(305) 752-2684

NPI assigned

Dec 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bannister

Title

Owner

Phone

(305) 752-2684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1003237603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14636 SW 95TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861040",
            "telephone_number": "305-752-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14636 SW 95TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861040",
            "telephone_number": "305-752-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BANNISTER ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-752-2684",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "6905352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jeanne Micali, MSPT
• Miccosukee Corporation
• Miccosukee Corporation
• Michael a. Diamond M.D. PA
• Michael B Cohen MD PA
• Michael Brody, DDS PA
• Michael C Margulies MD PA
• Michael Canning MD PA
• Michael Cook DPM PA
• Michael D. Fili, M.D. PA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miami, FL
• Providers in Miami, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.