Metamorphosis for Life, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

METAMORPHOSIS FOR LIFE, INC.

Practice address

3100 NW 170TH St
Miami Gardens, FL 33056-4328

Phone

(305) 310-8450

Fax

(305) 259-1543

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Arnold H. Coats

Title

Group Home Provider

Phone

(305) 345-7833

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivory Joe Christen, ARNP

  • Family Nurse Practitioner
  • Hallandale Beach, FL
  • NPI 1417952847
  NPD (past)

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1396499752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17130 NW 32ND AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564303",
            "telephone_number": "305-345-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW 170TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564328",
            "telephone_number": "305-310-8450",
            "fax_number": "305-259-1543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18710 NW 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330563138",
            "country_code": "US",
            "telephone_number": "305-760-2799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3911 NW 174th St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330553827",
            "country_code": "US",
            "telephone_number": "305-749-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "863 SW 9th Ct",
            "address_purpose": "LOCATION",
            "city": "Florida City",
            "state": "FL",
            "postal_code": "330345505",
            "country_code": "US",
            "telephone_number": "305-246-5613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1427 NW 97th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331472621",
            "country_code": "US",
            "telephone_number": "786-318-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 NW 83rd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331502610",
            "country_code": "US",
            "telephone_number": "786-899-0666",
            "fax_number": "786-899-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METAMORPHOSIS FOR LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "GROUP HOME PROVIDER",
        "authorized_official_telephone_number": "305-345-7833"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laydelis Mesa Hernandez
• Lizbetty Mesa Martinez
• Melany Mesa Navarro
• Iwona Kirsty Mesa
• Luisa Mesa
• Metrocare Healthcare Systems, Inc.
• Meyfer Solutions Corp
• Mfe Services Corp
• MH Behavioral Care LLC
• MHR Behavior Services Inc

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.