Organization Active NPI

Cutler Bay Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cutler Bay, FL
National Provider Identifier
1366759490
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
000227200 Issued in FL
Legal business name
CUTLER BAY GROUP HOME
Practice address
10471 SW 204TH Ter
Cutler Bay, FL 33189-1350
Phone
(305) 278-2816
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mrs. Sarah Maria Navarro-Cartaya
Title
Administrator
Phone
(305) 278-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 000227200 FL Primary

Addresses

Primary practice location

10471 SW 204TH Ter
Cutler Bay, FL 33189-1350

Mailing address

10471 SW 204TH Ter
Cutler Bay, FL 33189-1350
Phone (305) 278-2816

Other identifiers 1

IdentifierTypeStateIssuer
000227200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1366759490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10471 SW 204TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891350",
            "telephone_number": "305-278-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10471 SW 204TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891350",
            "telephone_number": "305-278-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTLER BAY GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "NAVARRO-CARTAYA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-278-2816",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "000227200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000227200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.