Organization Active NPI

Jader Group Home Inc

  • Developmental Disabilities Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1295440865
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
JADER GROUP HOME INC
Practice address
16035 NW 42ND Ave
Miami Gardens, FL 33054-6146
Phone
(786) 262-5414
NPI assigned
Jan 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Jader GomezNPI 1801515077
Title
Ceo
Phone
(786) 262-5414

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 Primary

Addresses

Primary practice location

16035 NW 42ND Ave
Miami Gardens, FL 33054-6146

Mailing address

16035 NW 42ND Ave
Miami Gardens, FL 33054-6146

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": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1295440865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16035 NW 42ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16035 NW 42ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546146",
            "telephone_number": "786-262-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADER GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JADER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-262-5414"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.