Organization Active NPI

Grow Up Behavioral Case Management LLC

  • Case Management Agency
  • Sunrise, FL
National Provider Identifier
1326663352
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GROW UP BEHAVIORAL CASE MANAGEMENT LLC
Practice address
1411 Sawgrass Corporate Pkwy # B-10
Sunrise, FL 33323-2888
Phone
(786) 759-7229
NPI assigned
Jun 16, 2020
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Marien Feliz, CBHCMSNPI 1053698449
Title
Owner
Phone
(305) 398-6100

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1411 Sawgrass Corporate Pkwy # B-10
Sunrise, FL 33323-2888

Mailing address

1411 Sawgrass Corporate Pkwy # B-10
Sunrise, FL 33323-2888
Phone (786) 759-7229

National Provider Directory

National Provider Directory

Locations

1411 Sawgrass Corporate Pkwy
#B10
Sunrise, FL 33323
Phone (786) 759-7229

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1326663352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SAWGRASS CORPORATE PKWY # B-10",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232888",
            "telephone_number": "786-759-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SAWGRASS CORPORATE PKWY # B-10",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232888",
            "telephone_number": "786-759-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW UP BEHAVIORAL CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "FELIZ",
        "authorized_official_first_name": "MARIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-398-6100",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.