Organization Active NPI

Cultivate Health, Corp

  • Behavior Analyst
  • Miami Gardens, FL
National Provider Identifier
1295579977
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CULTIVATE HEALTH, CORP
Practice address
160 NW 176TH St Ste 207-1
Miami Gardens, FL 33169-5042
Phone
(786) 271-1584
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Mario Luis MolinaNPI 1588042279
Title
Authorized Official
Phone
(786) 271-1584

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

160 NW 176TH St Ste 207-1
Miami Gardens, FL 33169-5042

Mailing address

160 NW 176TH St Ste 207-1
Miami Gardens, FL 33169-5042
Phone (786) 271-1584

National Provider Directory

National Provider Directory
Tax ID family
Cultivate Health Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 NW 176th St
Ste 207-1
Miami Gardens, FL 33169
Phone (786) 271-1584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1295579977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW 176TH ST STE 207-1",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695042",
            "telephone_number": "786-271-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 176TH ST STE 207-1",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695042",
            "telephone_number": "786-271-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE HEALTH, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-271-1584"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "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 Jun 19, 2024; 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.