Organization Active NPI

Elijah Network Family and Community Alliance, Inc.

  • Early Intervention Provider Agency
  • Homestead, FL
National Provider Identifier
1063811545
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ELIJAH NETWORK FAMILY AND COMMUNITY ALLIANCE, INC.
Practice address
27500 Old Dixie Hwy
#7
Homestead, FL 33032-8217
Phone
(786) 253-6921
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Mrs. Kathleen Therese Witte, C.P.P.
Title
Executive Director
Phone
(786) 253-6921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

27500 Old Dixie Hwy
#7
Homestead, FL 33032-8217

Mailing address

27500 Old Dixie Hwy
#7
Homestead, FL 33032-8217
Phone (786) 253-6921

National Provider Directory

National Provider Directory
Tax ID family
Elijah Network Family and Community Alliance Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27500 Old Dixie Hwy
#7
Homestead, FL 33032
Phone (786) 253-6921

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1063811545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 OLD DIXIE HWY",
            "address_2": "#7",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328217",
            "telephone_number": "786-253-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 OLD DIXIE HWY",
            "address_2": "#7",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328217",
            "telephone_number": "786-253-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAH NETWORK FAMILY AND COMMUNITY ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "786-253-6921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.P.P."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.