Organization Active NPI

Avantage Behavioral Health Services

  • Case Management Agency
  • Miami Gardens, FL
National Provider Identifier
1083152904
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AVANTAGE BEHAVIORAL HEALTH SERVICES
Practice address
18690 NW 2ND Ave
100
Miami Gardens, FL 33169-4508
Phone
(754) 423-9194
NPI assigned
Feb 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Authorized official

Name
Ms. Marnel ThelusmaNPI 1619415536
Title
President
Phone
(954) 226-2812

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

18690 NW 2ND Ave
100
Miami Gardens, FL 33169-4508

Mailing address

PO Box 268175
Weston, FL 33326-8175

National Provider Directory

National Provider Directory

Locations

18690 NW 2nd Ave
#100
Miami Gardens, FL 33169
Phone (754) 423-9194

Practitioners & affiliated clinicians

Practitioners 1

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": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486771200000",
    "number": "1083152904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268175",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333268175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18690 NW 2ND AVE",
            "address_2": "100",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694508",
            "telephone_number": "754-423-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTAGE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A",
        "authorized_official_last_name": "THELUSMA",
        "authorized_official_first_name": "MARNEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-226-2812",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; 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.