Gwenvanette Cromartie

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

11-88-GH Issued in FL

Practice address

3730 NW 195TH St
Miami Gardens, FL 33055-1938

Phone

(305) 621-6324

Fax

(305) 474-0969

NPI assigned

Jan 24, 2022

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cromartie Group Home Inc

  • Day Training/Habilitation Specialist
  • Miami Gardens, FL
  • NPI 1710836127
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1265184956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 NW 195TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551938",
            "telephone_number": "305-621-6324",
            "fax_number": "305-474-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 NW 195TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551938",
            "telephone_number": "305-621-6324",
            "fax_number": "305-474-0969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4822 Grove Point Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336245209",
            "country_code": "US",
            "telephone_number": "813-415-2694",
            "fax_number": "813-415-2694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3820 NW 192nd St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330551925",
            "country_code": "US",
            "telephone_number": "305-627-9344",
            "fax_number": "305-627-9344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 NW 188th St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330552744",
            "country_code": "US",
            "telephone_number": "305-620-0969",
            "fax_number": "305-622-3590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROMARTIE",
        "first_name": "GWENVANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "11-88-GH",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "11-431-GH",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "5113-5-GA",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "11-88-GH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681582196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Anthony Crespo, M.D.
• Yiliam Crespo
• Cresta Comfort Living Inc
• Beverly Crocker
• Cromartie Group Home Inc
• Caron Darell Crouch
• Emily Nicole Crowder
• Ismaray Cruz Hernandez
• Haley Cruz
• Laura Cruz, OD

• In Home Supportive Care Agency in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.