V & V Group Home, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

V & V GROUP HOME, LLC

Practice address

6442 Malton St
North Port, FL 34286-7298

Phone

(786) 218-8423

NPI assigned

Jul 5, 2020

Organization subpart

No

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

Authorized official

Name

Maurelin Luzbert Dieguez

Title

Owner

Phone

(786) 218-8423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593907200000",
    "number": "1083231120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 MALTON ST",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867298",
            "telephone_number": "786-218-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 MALTON ST",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867298",
            "telephone_number": "786-218-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V & V GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A",
        "authorized_official_last_name": "LUZBERT DIEGUEZ",
        "authorized_official_first_name": "MAURELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-218-8423"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tucker
• Timothy A Turner, DMD
• Kayleigh Tykoski
• Edward Ugrina
• Jessica Nukriyevna Undilashvili
• Yoice Valdes Arias
• Alisne Valdes
• Stephanie Anna Vallrugo
• Brenda Cardone Van Salisbury, OTR/L
• Stephen John Vara, M.D.

• Developmental Disabilities Clinic/Center in North Port, FL
• Providers in North Port, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.