Organization Active NPI

Calvinelle South Alf

  • Mental Illness Community Based Residential Treatment Facility
  • Miami, FL
National Provider Identifier
1447591052
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AL12229 Issued in FL
Legal business name
CALVINELLE SOUTH ALF
Practice address
1750 NW 41St St
Miami, FL 33142-4865
Phone
(954) 551-6363
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Calvin C Brown
Title
Administrator
Phone
(954) 551-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AL12229 FL Primary

Addresses

Primary practice location

1750 NW 41St St
Miami, FL 33142-4865

Mailing address

1750 NW 41St St
Miami, FL 33142-4865
Phone (954) 551-6363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1447591052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NW 41ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424865",
            "telephone_number": "954-551-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NW 41ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424865",
            "telephone_number": "954-551-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVINELLE SOUTH ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-551-6363"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "AL12229",
            "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 Mar 6, 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.