Organization Active NPI

Joy House

  • Developmental Disabilities Clinic/Center
  • Riverview, FL
National Provider Identifier
1104329143
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
JOY HOUSE
Practice address
7435 Mint Julep Dr
Riverview, FL 33578-8840
Phone
(813) 732-6142
NPI assigned
Mar 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Valerie Gray, RN
Title
President
Phone
(813) 732-6142

Specialties & licenses 1

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

Addresses

Primary practice location

7435 Mint Julep Dr
Riverview, FL 33578-8840

Mailing address

7435 Mint Julep Dr
Riverview, FL 33578-8840

Other identifiers 1

IdentifierTypeStateIssuer
689809MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1104329143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 MINT JULEP DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 MINT JULEP DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788840",
            "telephone_number": "813-732-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-732-6142",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689809",
            "state": "FL"
        }
    ],
    "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 Jun 16, 2018; 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.