Organization Active NPI

This Is Your Home Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Beverly Hills, FL
National Provider Identifier
1215226857
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
003061800 Issued in FL
Legal business name
THIS IS YOUR HOME SERVICES, LLC
Practice address
2581 W Apricot Dr
Beverly Hills, FL 34465-3054
Phone
(352) 257-3079
Fax
(352) 527-8222
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Mr. Jose A Arevalo
Title
President
Phone
(352) 257-3079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 003061800 FL Primary

Addresses

Primary practice location

2581 W Apricot Dr
Beverly Hills, FL 34465-3054

Mailing address

PO Box 640819
Beverly Hills, FL 34464-3054
Phone (352) 257-3079

Other identifiers 1

IdentifierTypeStateIssuer
003061800MedicaidFL

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1215226857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640819",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344643054",
            "telephone_number": "352-257-3079",
            "fax_number": "352-527-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 W APRICOT DR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653054",
            "telephone_number": "352-257-3079",
            "fax_number": "352-527-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIS IS YOUR HOME SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-257-3079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "003061800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003061800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.