Organization Active NPI

House of Esther Group Home, LLC

  • Community/Behavioral Health Agency
  • Riverview, FL
National Provider Identifier
1053773168
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOUSE OF ESTHER GROUP HOME, LLC
Practice address
9703 Bay Colony Dr
Riverview, FL 33578-8374
Phone
(718) 413-3982
NPI assigned
Mar 28, 2016
Last updated
Mar 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Ms. Merline Clarke, LPN
Title
Owner/Administrator
Phone
(718) 413-3982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

9703 Bay Colony Dr
Riverview, FL 33578-8374

Mailing address

9703 Bay Colony Dr
Riverview, FL 33578-8374
Phone (718) 413-3982

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1053773168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9703 BAY COLONY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788374",
            "telephone_number": "718-413-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9703 BAY COLONY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788374",
            "telephone_number": "718-413-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF ESTHER GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "MERLINE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "718-413-3982",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.