Organization Active NPI

Burroughs' Group Home, Inc.

  • Case Manager/Care Coordinator
  • Miami Gardens, FL
National Provider Identifier
1174703128
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
BURROUGHS' GROUP HOME, INC.
Practice address
3490 NW 200TH Ter
Miami Gardens, FL 33056-1786
Phone
(305) 620-0777
Fax
(305) 627-6979
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Miss Myrtice Burroughs
Title
Director/Owner
Phone
(305) 620-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X FL Primary

Addresses

Primary practice location

3490 NW 200TH Ter
Miami Gardens, FL 33056-1786

Mailing address

3490 NW 200TH Ter
Miami Gardens, FL 33056-1786
Phone (305) 620-0777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1174703128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 NW 200TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561786",
            "telephone_number": "305-620-0777",
            "fax_number": "305-627-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 NW 200TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561786",
            "telephone_number": "305-620-0777",
            "fax_number": "305-627-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURROUGHS' GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "MYRTICE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "305-620-0777",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.