Organization Active NPI

Menique, Inc. Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Miami, FL
National Provider Identifier
1164608204
Registry record updated Jan 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MENIQUE, INC. GROUP HOME
Practice address
15990 SW 110TH St
Miami, FL 33196-3680
Phone
(305) 386-2649
Fax
(305) 386-2649
NPI assigned
Jan 19, 2008
Last updated
Jan 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2008

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

Authorized official

Name
Mrs. Wanda E Galindo, MSED., MA
Title
Owner/Operator
Phone
(305) 331-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

15990 SW 110TH St
Miami, FL 33196-3680

Mailing address

15990 SW 110TH St
Miami, FL 33196-3680
Phone (305) 386-2649

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200700800000",
    "number": "1164608204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15990 SW 110TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963680",
            "telephone_number": "305-386-2649",
            "fax_number": "305-386-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15990 SW 110TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963680",
            "telephone_number": "305-386-2649",
            "fax_number": "305-386-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENIQUE, INC. GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-19",
        "last_updated": "2008-01-19",
        "status": "A",
        "authorized_official_last_name": "GALINDO",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "305-331-5070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED., MA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or 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 Jan 19, 2008; 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.