Family Support Home LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FAMILY SUPPORT HOME LLC

Practice address

1761 NW 82ND Ave
Pembroke Pines, FL 33024-3542

Phone

(305) 956-8107

NPI assigned

Jul 19, 2024

Last updated

Aug 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Antonio RodriguezNPI 1023701075

Title

Administrator

Phone

(305) 956-8107

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Juan Antonio Rodriguez

  • Behavior Technician
  • Homestead, FL
  • NPI 1023701075
  Authorized official Same address or phone
• Amelia Gomez Gonzalez

  • Behavior Analyst
  • Dania Beach, FL
  • NPI 1760988778
  NPD (past)

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1417795709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 NW 82ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243542",
            "telephone_number": "305-956-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 NW 82ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243542",
            "telephone_number": "305-956-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-956-8107"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health & Wellness Center of Pembroke Pines Inc.Life Chiropracti
• Family Health Choice, Inc
• Family Medical Group Pembroke Pines, LLC
• Family Oasis Nurse Registry Inc
• Family Practice of Davie Inc. (Family Medical Center)
• Ivar B Fandel, M.D.
• Tai Fang
• Vince Faridani, M.D.
• Raed Farraj
• Tami Faulk, OTR

• Behavior Analyst in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.