Good Support Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

229223 Issued in FL

Legal business name

GOOD SUPPORT AGENCY

Practice address

14284 SW 176TH Ter
Miami, FL 33177

Phone

(305) 235-2684

Fax

(305) 235-6912

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mirna Estebana Hernandez

Title

Manager

Phone

(305) 235-2684

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1215194451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14284 SW 176TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "395-235-2684",
            "fax_number": "305-235-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14284 SW 176TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "305-235-2684",
            "fax_number": "305-235-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SUPPORT AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_middle_name": "ESTEBANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-235-2684",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "229223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682011596",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682011598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Miami, FL
• Providers in Miami, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.