Community Habilitation Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COMMUNITY HABILITATION CENTER

Doing business as

The WOW Center

Practice address

11450 SW 79TH St
Miami, FL 33173-3640

Phone

(305) 279-7999

NPI assigned

Mar 8, 2019

Last updated

Jul 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natalia Wong

Title

Executive Director

Phone

(305) 279-7999

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The WOW Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1013475037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 SW 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733640",
            "telephone_number": "305-279-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 SW 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733640",
            "telephone_number": "305-279-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-279-7999"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER/I BUDGET FL",
            "identifier": "02498596",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natalia@wowcentermiami.org",
            "affiliation": "N",
            "endpointDescription": "EXECUTIVE DIRECTOR DIRECT EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11450 SW 79th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331733640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The WOW Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The WOW Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Miami, FL
• Providers in Miami, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.