Organization Active NPI

Mesa'S Group Homes, Inc.

  • Developmental Disabilities Clinic/Center
  • Miami, FL
National Provider Identifier
1205364155
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MESA'S GROUP HOMES, INC.
Practice address
9771 SW 48TH St
Miami, FL 33165-6301
Phone
(786) 478-8132
NPI assigned
May 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mrs. Milena MesaNPI 1689021545
Title
Administrator/Owner
Phone
(786) 478-8132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9771 SW 48TH St
Miami, FL 33165-6301

Mailing address

11895 SW 37TH St
Miami, FL 33175-3111
Phone (786) 478-8132

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1205364155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11895 SW 37TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753111",
            "telephone_number": "786-478-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9771 SW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656301",
            "telephone_number": "786-478-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA'S GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "MILENA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "786-478-8132",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "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 Jun 20, 2018; 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.