Petsirl Group Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11895 Issued in FL

Legal business name

PETSIRL GROUP HOME, INC.

Practice address

8361 NE 3Rd Ave
Miami, FL 33138-3905

Phone

(305) 318-6650

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Leonise Walker

Title

Owner/Administrator

Phone

(305) 318-6650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1316248792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 NE 3RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383905",
            "telephone_number": "305-318-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 NE 3RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383905",
            "telephone_number": "305-318-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETSIRL GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LEONISE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-318-6650"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda S Petrillo, DC
• Aida Janeth Petrlak, LMFT
• Benjamin Petrolati, PT
• Constantine Petropoulos, PHARM D, MHSA
• Jerilyn B Petropoulos, BS, PHARMD, BCPS
• Jeremy Pettit, PH.D.
• Rachel Pevsner Crum, D.O.
• Deborah Pevsner, M.D.
• Abbas Peymani, MD, MS, PHD
• Peysaf Worthalter, M.D., P.a.

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.