Organization Active NPI

Amazing Group Home Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Miami, FL
National Provider Identifier
1023939485
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
AMAZING GROUP HOME INC
Practice address
12610 SW 30TH St
Miami, FL 33175-2606
Phone
(786) 362-4767
Fax
(305) 603-8727
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Gladys JimenezNPI 1649627233
Title
Owner
Phone
(786) 362-4767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

12610 SW 30TH St
Miami, FL 33175-2606

Mailing address

12610 SW 30TH St
Miami, FL 33175-2606
Phone (786) 362-4767

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1023939485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 SW 30TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752606",
            "telephone_number": "786-362-4767",
            "fax_number": "305-603-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 SW 30TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752606",
            "telephone_number": "786-362-4767",
            "fax_number": "305-603-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-362-4767"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.