Jenesa Community Mental LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JENESA COMMUNITY MENTAL LLC

Practice address

1800 SW 27TH Ave Ste 400
Miami, FL 33145-2400

Phone

(786) 536-6751

Fax

(786) 409-7168

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Elirayde Gonzalez Castellanos

Title

Ceo

Phone

(786) 631-2364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1164916755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452400",
            "telephone_number": "786-536-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 27TH AVE STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452400",
            "telephone_number": "786-536-6751",
            "fax_number": "786-409-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENESA COMMUNITY MENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ CASTELLANOS",
        "authorized_official_first_name": "ELIRAYDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-631-2364"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.