Organization Active NPI

Rivero Group Homes Inc

  • Adult Care Home Facility
  • Miami, FL
National Provider Identifier
1376987339
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RIVERO GROUP HOMES INC
Practice address
236 SW 28TH Rd
Miami, FL 33129-2322
Phone
(786) 378-0909
Fax
(305) 860-1151
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Jorge Dominguez, RN
Title
Manager
Phone
(305) 849-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

236 SW 28TH Rd
Miami, FL 33129-2322

Mailing address

236 SW 28TH Rd
Miami, FL 33129-2322
Phone (786) 378-0909

Other identifiers 1

IdentifierTypeStateIssuer
003015900MedicaidFL

Other names 1

  • none Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1376987339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SW 28TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292322",
            "telephone_number": "786-378-0909",
            "fax_number": "305-860-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SW 28TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292322",
            "telephone_number": "786-378-0909",
            "fax_number": "305-860-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERO GROUP HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-849-5777",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003015900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.