Starbrite Group Home, Inc

Primary specialty

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

License

11-409-GH Issued in FL

Legal business name

STARBRITE GROUP HOME, INC

Practice address

975 NE 127TH St
North Miami, FL 33161-4911

Phone

(305) 899-1874

Fax

(305) 899-1483

NPI assigned

Dec 24, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Danila F Grevi

Title

President

Phone

(305) 899-1874

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1293148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293148800000",
    "number": "1457655995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 NE 127TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614911",
            "telephone_number": "305-899-1874",
            "fax_number": "305-899-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 NE 127TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614911",
            "telephone_number": "305-899-1874",
            "fax_number": "305-899-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBRITE GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-24",
        "last_updated": "2010-12-24",
        "status": "A",
        "authorized_official_last_name": "GREVI",
        "authorized_official_first_name": "DANILA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-899-1874",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "11-409-GH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683925896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Miami, FL
• Providers in North Miami, 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 Dec 24, 2010; 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.