Son & Johnson Group Home,Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

691655496 Issued in FL

Legal business name

SON & JOHNSON GROUP HOME,INC

Practice address

6191 Honeywood Way
Lakeworth, FL 33463

Phone

(561) 396-7240

Fax

(561) 964-9543

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Elsa Carline BurkeNPI 1043501737

Title

Manager

Phone

(561) 396-7240

Specialties & licenses 1

Addresses

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.

• Elsa Carline Burke, MSW

  • Mental Health Counselor
  • Lake Worth, FL
  • NPI 1043501737
  NPD (past) Authorized official

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1316243165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 HONEYWOOD WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636737",
            "telephone_number": "561-393-7240",
            "fax_number": "561-964-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 HONEYWOOD WAY",
            "city": "LAKEWORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-396-7240",
            "fax_number": "561-964-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON & JOHNSON GROUP HOME,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "CARLINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-396-7240"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "691655496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.