Organization Active NPI

Our Sacred Academy, Inc.

  • Developmental Disabilities Clinic/Center
  • Greenacres, FL
National Provider Identifier
1184229064
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
OUR SACRED ACADEMY, INC.
Practice address
2224 S Jog Rd
Greenacres, FL 33415-6101
Phone
(786) 286-0667
NPI assigned
Dec 1, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Katherine Yepes, MS GUIDANCE COUNSEL
Title
Ceo/Founder
Phone
(786) 286-0667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2224 S Jog Rd
Greenacres, FL 33415-6101

Mailing address

2224 S Jog Rd
Greenacres, FL 33415-6101
Phone (786) 286-0667

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL INFO@OURSACREDACADEMY.ORG Direct

National Provider Directory

National Provider Directory

Locations

2224 S Jog Rd
Greenacres, FL 33415
Phone (786) 286-0667

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1184229064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156101",
            "telephone_number": "786-286-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156101",
            "telephone_number": "786-286-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR SACRED ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "YEPES",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "786-286-0667",
        "authorized_official_credential": "MS GUIDANCE COUNSEL"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INFO@OURSACREDACADEMY.ORG",
            "affiliation": "N",
            "endpointDescription": "BUSINESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2224 S Jog Rd",
            "city": "Greenacres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334156101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.