Active NPI
Beauvais Group Home Inc
Doing business as Beauvais Independent Living
- Community/Behavioral Health Agency
- Pembroke Pines, FL
National Provider Identifier
1184548364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BEAUVAIS GROUP HOME INC
- Doing business as
- Beauvais Independent Living
- Practice address
- 9021 Taft St
Pembroke Pines, FL 33024-4676 - Phone
- (954) 997-5842
- NPI assigned
- Aug 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wilda B Beauvais, DO
- Title
- Owner
- Phone
- (954) 859-6294
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adult Companion | 372600000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
9021 Taft St
Pembroke Pines, FL 33024-4676
Mailing address
594 SW 159TH LN
Pembroke Pines, FL 33027-1152
Phone (954) 859-6294
Other names 1
- Beauvais Independent Living
National Provider Directory
National Provider DirectoryLocations
9021 Taft St
Pembroke Pines, FL 33024
Phone (954) 362-4738
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Pembroke Pines, FL
- NPI 1083549042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786147200000",
"number": "1184548364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 SW 159TH LN",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271152",
"telephone_number": "954-859-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9021 TAFT ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330244676",
"telephone_number": "954-997-5842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUVAIS GROUP HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-08",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A",
"authorized_official_last_name": "BEAUVAIS",
"authorized_official_first_name": "WILDA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-859-6294",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beauvais Independent Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.