Organization Active NPI

P&M Community Support,LLC.

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1396311163
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
P&M COMMUNITY SUPPORT,LLC.
Practice address
10887 NW 17TH St Unit 109
Miami, FL 33172-2044
Phone
(786) 925-5698
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Johann Morejon, CBHCMS
Title
Case Manager Supervisor
Phone
(786) 925-5698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

10887 NW 17TH St Unit 109
Miami, FL 33172-2044

Mailing address

10887 NW 17TH St Unit 109
Miami, FL 33172-2044
Phone (786) 925-5698

National Provider Directory

National Provider Directory

Locations

10887 NW 17th St
Unit 109
Miami, FL 33172
Phone (786) 925-5698

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": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1396311163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10887 NW 17TH ST UNIT 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722044",
            "telephone_number": "786-925-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10887 NW 17TH ST UNIT 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722044",
            "telephone_number": "786-925-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&M COMMUNITY SUPPORT,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MOREJON",
        "authorized_official_first_name": "JOHANN",
        "authorized_official_title_or_position": "CASE MANAGER SUPERVISOR",
        "authorized_official_telephone_number": "786-925-5698",
        "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 Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.