Great Paradise Group Home LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GREAT PARADISE GROUP HOME LLC

Practice address

6309 SW 18TH St
Miramar, FL 33023-2106

Phone

(786) 316-2220

Fax

(954) 827-8015

NPI assigned

Jun 9, 2022

Organization subpart

No

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

Authorized official

Name

Joseph Tony Lazarre

Title

President

Phone

(786) 316-2220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1164151502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 SW 18TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232106",
            "telephone_number": "786-316-2220",
            "fax_number": "954-827-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 SW 18TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232106",
            "telephone_number": "786-316-2220",
            "fax_number": "954-827-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PARADISE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "LAZARRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-316-2220"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.