Organization Active NPI

Rascon Group Home, Corp.

  • Developmental Disabilities Clinic/Center
  • Miami, FL
National Provider Identifier
1053856054
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
RASCON GROUP HOME, CORP.
Practice address
10920 SW 55TH St
Miami, FL 33165-6913
Phone
(786) 853-3082
Fax
(305) 662-2549
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Ereida Benitez
Title
Owner
Phone
(786) 853-3082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

10920 SW 55TH St
Miami, FL 33165-6913

Mailing address

10920 SW 55TH St
Miami, FL 33165-6913
Phone (786) 853-3082

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1053856054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 SW 55TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656913",
            "telephone_number": "786-853-3082",
            "fax_number": "305-662-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 SW 55TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656913",
            "telephone_number": "786-853-3082",
            "fax_number": "305-662-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASCON GROUP HOME, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "EREIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-853-3082"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, 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 Dec 29, 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.