NPIMap

Organization Active NPI

Family Preservation

  • Health Maintenance Organization
  • Riviera Beach, FL
National Provider Identifier
1396040341
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
302R00000X Issued in FL
Legal business name
FAMILY PRESERVATION
Practice address
2051 Martin Luther King Blvd.
Riviera Beach, FL 33404
Phone
(561) 683-4778
Fax
(561) 683-9995
NPI assigned
Jan 24, 2011
Last updated
Jan 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Ricardo SantiagoNPI 1457494619
Title
Clinical Director
Phone
(561) 683-4778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 302R00000X FL Primary

Addresses

Primary practice location

2051 Martin Luther King Blvd.
Riviera Beach, FL 33404

Mailing address

2051 Martin Luther King Jr Blvd
Riviera Beach, FL 33404-7004
Phone (561) 683-4778

National Provider Directory

National Provider Directory

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": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1396040341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MARTIN LUTHER KING JR BLVD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334047004",
            "telephone_number": "561-683-4778",
            "fax_number": "561-683-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARTIN LUTHER KING BLVD.",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "33404",
            "telephone_number": "561-683-4778",
            "fax_number": "561-683-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-683-4778"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.