Organization Active NPI

MG Home Care Services LLC

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1114372406
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MG HOME CARE SERVICES LLC
Practice address
10200 NW 25TH St Ste 114
Doral, FL 33172-5919
Phone
(786) 340-2687
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Yordanka Alonso
Title
Administrator
Phone
(305) 908-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10200 NW 25TH St Ste 114
Doral, FL 33172-5919

Mailing address

10200 NW 25TH St Ste 114
Doral, FL 33172-5919

Other identifiers 1

IdentifierTypeStateIssuer
020618700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
MG Home Care Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

8601 SW 199th St
Cutler Bay, FL 33189
Phone (305) 882-9108

Practitioners & affiliated clinicians

Practitioners 6

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": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1114372406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST STE 114",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST STE 114",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725919",
            "telephone_number": "786-340-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "YORDANKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-908-2999"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020618700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.