Rodeck II Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

RODECK II INC.

Practice address

25940 SW 132ND PL
Princeton, FL 33032-6886

Phone

(786) 299-1543

NPI assigned

Oct 6, 2018

Last updated

Oct 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Argeo Rodriguez

Title

President /Owner

Phone

(786) 299-1543

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rodeck II Group Home Other name

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

{
    "created_epoch": "1538784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538784000000",
    "number": "1326513227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 MONTEGO BAY DR.",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "33189",
            "telephone_number": "786-299-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25940 SW 132ND PL",
            "city": "PRINCETON",
            "state": "FL",
            "postal_code": "330326886",
            "telephone_number": "786-299-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODECK II INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-06",
        "last_updated": "2018-10-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARGEO",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "786-299-1543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692-607-096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodeck II Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pure Growth Behavioral Services
• Ketleine Purice-Robert
• Juan Diego Quintero
• Lianne Riveron Bacallao
• Angel Robinson, RN
• Roxana De la Caridad Rodriguez Sanso
• Marco Rodriguez
• Daniella Sophia Romero
• Thresha-Ann Stewart, ARNP
• Addis Tarrero Mendoza

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Princeton, FL
• Providers in Princeton, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; 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.