Organization Active NPI

Blessed Lives, Corp

  • Developmental Disabilities Clinic/Center
  • Miami, FL
National Provider Identifier
1104604313
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
BLESSED LIVES, CORP
Practice address
12208 SW 194TH Ter
Miami, FL 33177-6530
Phone
(305) 910-8332
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Annia Alvarez RiosNPI 1326633553
Title
Ceo
Phone
(305) 910-8332

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

12208 SW 194TH Ter
Miami, FL 33177-6530

Mailing address

12208 SW 194TH Ter
Miami, FL 33177-6530
Phone (305) 910-8332

National Provider Directory

National Provider Directory
Tax ID family
Blessed Lives Corp2 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.

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": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1104604313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12208 SW 194TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776530",
            "telephone_number": "305-910-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12208 SW 194TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776530",
            "telephone_number": "305-910-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED LIVES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ RIOS",
        "authorized_official_first_name": "ANNIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-910-8332"
    },
    "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 Sep 19, 2023; 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.