Organization Active NPI

Step by Step Young Adult Center

  • Developmental Disabilities Clinic/Center
  • Hialeah, FL
National Provider Identifier
1205635448
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
STEP BY STEP YOUNG ADULT CENTER
Practice address
17690 NW 78TH Ave Ste 104
Hialeah, FL 33015-3669
Phone
(786) 367-1304
Fax
(786) 542-0920
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Lisely Jimenez
Title
Owner
Phone
(786) 367-1304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

17690 NW 78TH Ave Ste 104
Hialeah, FL 33015-3669

Mailing address

17601 NW 78TH Ave Ste 103
Hialeah, FL 33015-3650
Phone (786) 367-1304

National Provider Directory

National Provider Directory

Locations

17690 NW 78th Ave
Ste 104
Hialeah, FL 33015
Phone (786) 367-1304

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1205635448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 NW 78TH AVE STE 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153650",
            "telephone_number": "786-367-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17690 NW 78TH AVE STE 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153669",
            "telephone_number": "786-367-1304",
            "fax_number": "786-542-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP BY STEP YOUNG ADULT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "LISELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-367-1304"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.